Types of Addiction: Detailed List of Addictions

In the past, experts labeled addictions as being either physical or psychological. Today, they recognize several types of addiction. Although different people may share factors that make them vulnerable to addiction, no personality type is immune.

What Is Addiction?

Addiction

Addiction is the use of a substance or a behavior which provides a reward. It is so compelling that the potential negative consequences aren’t enough to prevent the person from pursuing the reward repeatedly. The average person thinks of addiction as the need for substances like illicit drugs or alcohol but people can become addicted to other things.

The truth is, addiction can happen to almost anyone. Addictive substances are not limited to those which are illegal. Think about the last time you skipped your morning cup of coffee. The headache you got a few hours later was because of your addiction to caffeine. Caffeine is classified as a psychoactive drug and it is well-known as a stimulant. Most people consume some amount of it every day without ever realizing they are addicted.

Although there is a distinct difference between psychological and physical addiction, often addictions overlap, manifesting as both physical and psychological. For example, caffeine alters your brain’s chemical makeup. You become used to having it, forming a physical addiction. If you stop drinking it, you will have symptoms like headaches, nausea, and fatigue.

Drinking coffee is also something people do out of habit. They might have a cup with their significant other at the breakfast table each morning. Or, talking over coffee might be a normal socializing practice at work. Having a cup of coffee in your hand in these familiar settings is a psychological addiction.

Smoking cigarettes is similar. People have a lot of difficulty quitting because they are physically addicted to the nicotine in the tobacco. At the same time, many say they miss the act of holding the cigarette in their hand.

Although these types of addiction aren’t as destructive as addictions to alcohol and drugs like opioids or narcotics, they work in the same way. Caffeine and cigarettes can cause health problems. It is easy to fall into the habit of consuming them daily.

Unlike alcohol and drugs, however, they don’t usually interfere with the person’s ability to work and socialize. Still, reflecting on these less dangerous addictions makes it easier to see why addiction has such a strong hold over many people’s lives. Many coffee drinkers would cringe at the prospect of skipping coffee for a day or two, let alone giving it up. Imagine an addiction ten, twenty, or a hundred times stronger than your coffee drinking habit. Once you are hooked, letting go is something that does take a lot of conscious effort and dedication.

Addiction to Alcohol

Addiction to Alcohol

Alcohol addiction is nothing new. Its addictive powers have been around since the first grape was turned into wine! Although alcohol is common in all types of social settings, it is also one of the most addictive substances around. Like cigarettes and caffeine, alcohol is legal for adults to purchase. It is readily available and socially acceptable in most areas.

There are a number of myths about alcohol addiction. Many people assume it affects others in the same way it affects them. The truth is, it affects people differently. Also, people believe alcohol addiction results from out-of-control drinking and that if they never binge drink, they aren’t an alcoholic. The fact is that many alcoholics begin as social drinkers. It’s also important to understand that people are predisposed to alcoholism. Their bodies are unable to process alcohol normally.

Drug Addiction

Some types of addictive drugs have been around for a long time. There’s also always something new that comes along to make it more challenging to prevent and treat addiction. Most of us are aware of the opioid epidemic going on in the country today. Opioids are painkillers such as heroin, hydrocodone, methadone, and oxycodone. Some, like heroin, are illegal for everyone. Others, including Percocet and Vicodin, are sold as prescriptions. There are also synthetic opioid drugs, such as fentanyl, that are made and sold illegally on the street. These drugs present an even greater risk because of the lack of control over the how they are made. Deaths from fentanyl have surpassed those caused by prescription opioids since 2016.

While opioid addiction is one of the most known-about addictions today, there are many other types of addictive drugs used frequently, too. Some include:

  • Marijuana – Marijuana is often the first drug used by illicit drug users. Most new users are teenagers. The debate over whether marijuana use is addictive has been a long one. Like most drugs that are known to be addictive, the result isn’t the same in everyone who uses it. Some people stop using marijuana after many years without any adverse effects. Others develop a psychological addiction that is as difficult to break as one that is physical. The growth of marijuana use over the past decade is evidence that there is a problem. Something called ‘marijuana use disorder’ can take the form of addiction.
  • Amphetamines – Methamphetamine, Adderall, Ritalin, Dexedrine, Focalin, and many others. These drugs are stimulants which impact the central nervous system. They are addictive because they stimulate brain activity.
  • Benzodiazepine – This group of drugs is used to treat anxiety and insomnia, along with alcohol withdrawal. Benzodiazepines include Valium and Xanax and are effective when used for their intended purpose. When their use is not properly monitored, they become addictive.
  • Cocaine – Cocaine is a stimulant that is highly addictive. It is found in two forms including water-soluble hydrochloride salt and a water-insoluble base, known as ‘freebase’. The latter is the street drug ‘crack’. The drug increases the dopamine supply in the brain, creating feelings of utopia.
  • Narcotics – Narcotics include opiates or painkillers and they work by binding to pain receptors in the nervous system. Fentanyl, codeine, hydrocodone, morphine, and methadone are used both legally and illegally. The best-known illegal narcotics are heroin and opium. These drugs are not only very addictive, they are also linked to a high incidence of overdose and death.
  • Hallucinogens – These drugs alter the user’s perception, thoughts, and feelings. Users see things that they believe to be real, even though they are not. Some common forms of hallucinogens include mescaline, LSD, mushrooms and both natural and synthetic forms of DMT.

Magic Mushrooms

  • Inhalants – Inhalants produce the same type of effects as alcohol. They are less common than other addictive substances. These substances are popular among teens because they are easy to get. Many are found in the typical household in things like paint thinners, gasoline, freon, spray paint, and lighter fluid. Many inhalants cause both physical and psychological addiction.
  • Sedative-Hypnotics – Also called depressants, these drugs slow down the brain’s activity. The body often builds up a tolerance to these drugs, resulting in the need for higher dosages to get the same effect. Once addiction occurs, the user experiences symptoms of withdrawal when the drug is no longer being taken. Benzodiazepine is a type of sedative, along with barbiturates, muscle relaxants, antihistamines, and other groups.

Some people engage in recreational drug use on occasion without ever developing an addiction. In others, the effects of the drug lead to addiction right away or over time. The person can’t resist the obsession they have with the drug’s effects. It becomes their top priority, over their relationships, their job, and even the loss of their home. Their need for the drug becomes the only thing that matters. Many are willing to steal or commit other crimes to get more of their addictive substance.

Behavioral Addictions

All types of addiction aren’t related to substances that enter the body. A behavioral addiction is one in which the person doesn’t have a physical need for the sensation, but rather, a mental desire. Many characteristics of these addictions resemble those of substance addiction. The most significant difference is that behavioral addictions don’t have the same risk to a person’s health and physical well-being.

Of those types of addictions listed below, only gambling is listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV.) But just as the ideas of alcoholism have changed over time, these and others are likely to gain recognition as real addictions. Some of the most common types of behavioral addictions include:

Gambling

Gambling is one of the oldest forms of addiction and, in many ways, a surprise to many who suffer from it. Some adults live for many years without ever thinking about gambling. It isn’t until they are in a situation where they get to experience the “high” of risking their money on a certain outcome that they get hooked.

Gambling Addiction

Experts haven’t always considered gambling an addiction. Bad behaviors used to be bad behaviors; period. Now we know that, like drug or alcohol addiction, the need to gamble occurs as a means to feel a rush; the sense of euphoria people get from taking a risk.

Technology

For anyone not addicted to their cell phone, it might seem that texting has become the latest form of behavioral addiction. People can’t seem to put their cell phones down! Gaming, internet use, and even watching television might be included. The fact is that the newness of these practices means that there is no evidence to prove they are addictive. Still, parents of teens with video game systems might disagree. Looking back to the definition of addiction listed earlier, it makes it difficult not to put these activities into the category of addictive behaviors.

Sexual

Some people develop an addiction to pornography. Sometimes, viewing porn takes precedence over engaging in sexual activity with a partner or mate. Others become addicted to the physical act of sex. Although sexual addictions occur for different reasons and via different paths, the person gains satisfaction from the act itself. It is not about the intimacy that most people feel for another. The most obvious impact of a sexual addiction is the inability of the person to have satisfying relationships based on trust.

How Addiction Is Treated

Every addiction and every addict are different. Sometimes addicts realize the impact on their lives and they make the choice to enter a recovery program. Others have no desire to overcome their addiction. They require action from family members to get them into an appropriate recovery program. Sometimes the person is admitted to a recovery program because of a legal issue.

Treating addiction isn’t black and white. Some people have more than one addictive behavior. They may also have mental disorders. They may be experiencing depression, post-traumatic stress disorder, or are trying to cope with other challenges. It’s important for the recovery center to perform an analysis of the person’s situation and their history. Learning which came first, the addiction or the trigger, will help them provide a treatment plan that is right for each individual’s specific needs.

Education is an important part of an effective recovery process.

Education

Before the person can accept their addiction, they need to understand the concept behind it. Treatment includes therapy in which the person talks with a therapist one-on-one and/or in a group. The best programs incorporate the family members into the process to help them deal with their loved one’s addiction.

Some medications are useful in helping to alleviate the symptoms of withdrawal. A monitored prescription plan allows the person to transition to life without the addictive substance more smoothly. At the same time, some of the medications the person is taking may be problematic. They might need to discontinue some drugs in order to help the brain reset itself. Stopping some prescriptions also reduces the potential for relapse.

One thing that all types of addiction have in common is that they don’t go away on their own. Once the human body is accustomed to any addictive substance, the person requires professional intervention to free them from chemical dependency. A recovery center can provide the necessary care to ensure the process is performed safely and effectively.

The issue of relapse is also an important one. Even after completing a recovery program, many people go back to using the same substance as before. In some cases, they may transfer their addictive behavior to one of the other types of addiction. One of the reasons relapse is a problem is that people often return to their previous lifestyles. They put themselves into situations where their cravings and temptations return.

Everyone who uses drugs and alcohol won’t become addicted. Those who do become addicted need help to get free of their addiction. The process to go from addiction to addiction-free requires learning the coping skills needed to deal with cravings. It also means knowing how to deal with a variety of emotions that treatment often triggers.

Riverside Recovery Center has years of experience at treating a broad range of substance addictions. If you or a loved one needs help recovering from addiction, contact Riverside Recovery Center. We serve those suffering from addiction, their families, and their friends with dignity and compassion.

Vivitrol: Cost, Side Effects, and Interactions

One of the biggest social problems of this century has had a treatment on the market since 2006, but only recently receiving its share of attention. That important tool in the addiction treatment toolkit is Vivitrol.

Addiction problems have caught the country’s attention as never before. According to federal statistics, by 2016 over a hundred people per day died from opioid-related issues and over 2 million had developed an opioid use disorder, but today doctors have more options than ever for treatment. Opioid addicts saturate emergency and health care services, pushing their capacity beyond the limit. Worse than the statistics are the stories of entire communities hollowed out by addiction as the medical community rises to confront the threat.

Vivitrol

The opioid crisis dates back to the 1990s when doctors ramped up prescriptions of powerful opioid pain medications, wrongly assured by experts that addiction would be a minor issue. Even in today’s more strict regulatory environment, pain medication prescriptions represent one of the more dangerous gateways into addiction. While many in the media and elsewhere have taken to using “opioid” as a catch-all term, opioid refers to synthetic drugs that act by design similarly to opiate drugs whose active ingredients come from the poppy plant.

Thankfully, medical science has worked to develop ways to break the cycle of addiction. One of the newest pieces in the anti-addiction toolkit is Vivitrol. It offers no miracle cure, however. Like any drug used to fight addiction, Vivitrol is most effective when patients follow directions and take it as part of a treatment regime that includes a doctor’s supervision and regular counseling.

What Is Vivitrol

Opioid and opiate-based medications dull pain by engaging the brain’s pain receptors. In addition to dulling the physical sensation of pain, this engagement also induces a “high” that can create feelings of euphoria or dull all physical and emotional responses. Addiction occurs when the brain becomes dependent on the drugs. Individuals grow dependent on the effects of the drug and could even manifest feelings of pain with no direct stimuli just to get the drug.

Vivitrol is a long release version of the addiction treatment drug naltrexone.  Approved by the US Food and Drug Administration in 2006, it acts as a blocking agent. It engages the same receptors in the brain as opioid and opiate drugs, but then occupies the “space” otherwise taken by those drugs. Opioid and opiate drugs can no longer dull the pain and will not make the user high.

When used in conjunction with a doctor’s supervision and regular counseling, Vivitrol can prove highly effective in keeping an addict from experiencing the effects of opioids and opiates. It also has proven useful in treating those who suffer from alcohol addiction.

Like any other drug in a medication-assisted treatment plan, users need to follow all directions carefully. Counseling is also necessary to address the psychological issues associated with addiction. No drug, not even Vivitrol, can cure addiction by itself.

The Vivitrol Shot

Vivitrol comes in a once a month, 380-milligram dose. It should only enter the body via gluteal intramuscular injection and even then, only from a medical professional trained specifically to administer the drug. The medical professional must take special care to not inject Vivitrol subcutaneously since this can increase the risk of painful reaction.

vivitrol Injection

The long release nature of Vivitrol allows it to effectively block receptors from opiate or opioid drug stimulation for a month. It can only work, however, when the patient’s system no longer has opioid or opiate drugs in it. The brain’s receptors must be clear so that the Vivitrol can occupy and block them from admitting opioids or opiates.

The Vivitrol shot should be used with care because it can react adversely with other addiction treatment drugs. Medical professionals must urge in no uncertain terms that patients about to undergo Vivitrol treatments be completely honest about drug or alcohol use prior to the injection. If the system has not been fully cleared of addictive drugs, Vivitrol can trigger severe symptoms of withdrawal. Doctors prescribing Vivitrol should do so with care because it could interact with opiate and opioid-based addiction treatment drugs.

Patients and medical professionals alike should study the possible side effects of Vivitrol and any other drug prior to use. This could prevent serious problems from going unnoticed.

Vivitrol Side Effects

One of the most important reasons why Vivitrol use should only be done under the supervision of a trained medical professional while following directions precisely is the side effects. These can range from unpleasant to dangerous.

First Vivitrol does block the brain from receiving stimulation from opioids or opiates, but it does not prevent those drugs from taking effect in different ways. Trying to take opioids or opiates to get a high while on Vivitrol will likely not produce the desired sensation, but can still cause coma or death as a result.

Vivitrol will not work properly if used while opioids or opiates remain in the system. This includes opiate based treatment drugs such as Suboxone and even cold medicines with codeine. For best results, the patient’s system should be free of opiate or opioid drugs for between seven and 14 days before taking Vivitrol. The combination could, however, produce immediate and unpleasant symptoms of opiate withdrawal.

Opiate Withdrawal

As Vivitrol wears off, usually around a month after injection, opioid and opiate drugs will create normal physical and other effects.  Users should understand, however, that their tolerance will have dropped in that month. If they use drugs in the same amounts or rates as before treatment, they could overdose and die.

Side effects can also occur at the site of injection and these can produce serious and painful symptoms. Patients should inform their doctor if they experience pain at the point of injection, swelling, a hard feeling on the skin, blisters, an open wound that will not heal, or a dark scab. If symptoms do not disappear after two weeks, call the doctor.

Vivitrol in some rare cases can cause liver damage or even hepatitis. If a patient experiences unexplained stomach pain over a few days or more, dark urine, yellowing of the eyes, and/or fatigue, these could be signs of the onset of liver damage and the patient should speak to his or her doctor immediately.

Other common side effects include:

  • Vision difficulties
  • Racing heartbeat
  • Difficulty breathing or wheezing
  • Mood swings and/or hallucinations
  • Ear pain or ringing
  • Anxiety, nervousness, or irritability
  • Increased thirst
  • Impotence or inability for a male to climax

Patients who experience side effects such as racing heartbeat, breathing problems, or symptoms related to liver problems should contact a doctor immediately. All of these could be signs of serious problems.

Vivitrol can also produce a range of allergic reactions in some patients, especially different types of discomfort and symptoms at the site of injection.

While some of these symptoms may also stem from the weaning process, patients should contact their doctor if they experience these or other unusual problems.

Vivitrol Versus Suboxone

Suboxone works in a similar way to Vivitrol but has received more criticism. Like methadone, Suboxone is a less potent opioid that engages the brain receptors. It does, however, produce a much less powerful reaction. The theory behind Suboxone and other similar medications is that it represents part of a stepping down process from highly potent drugs such as OxyContin or heroin.

Critics, however, claim that Suboxone hurts more than it helps. Since it is also an opioid, many claim that its use merely represents substituting one addictive opioid for another. Suboxone is an opioid and works the same way as opioids and opiates.  Quitting “cold turkey” from Suboxone, once treatment ends, can produce unpleasant and even sometimes dangerous withdrawal side effects. Suboxone also does not require full detoxification before treatment.

Suboxone’s advantage lies in the fact that it does come at a much lower cost per dose than Vivitrol at this point.

Vivitrol, however, offers advantages as well. It treats the addiction directly by going after the physiological target in the brain. It blocks receptors and does not permit opioids or opiates to engage. Most importantly, since Vivitrol is not an opioid or opiate, it does not produce the high, nor do patients develop addiction the way they may with Suboxone.

Another benefit of Vivitrol lies in its long-term effects. Much of the opioid crisis centers in rural and remote regions without many legitimate clinics for treatment. Rural residents may find treatment easier and more convenient with Vivitrol versus the orally taken Suboxone. Also, there is a much smaller chance of forgetting to take the medication from one day to the next.

study conducted by the National Institute on Drug Abuse found that the effectiveness of the two drugs was roughly equivalent when the medication was prescribed and used as directed. The main criticism of Vivitrol lay in the fact that a patient must be completely clean before using. In some studies, patients relapsed before they could start their Vivitrol regimen. This would suggest that Vivitrol treatment might be optimal in a more closed treatment setting, such as a recovery center or even jail or prison.

Is Vivitrol an Agonist

Drug addiction treatment medications fall into two categories, agonist and antagonist. Agonist drugs mimic the action of the brain’s neurotransmitter. Addictive drugs engage the dopamine neurotransmitter, which can create feelings of euphoria or the “high.”  Direct agonists engage the transmitter itself while indirect agonists affect the number of transmitters affected.

Antagonist drugs bind themselves to neurotransmitter receptors, preventing any binding with substances such as opioids. Neurotransmitters do not have a chance to be either produced or released.

Neurotransmitters

Because Vivitrol attaches itself to receptors and blocks any other substance from binding, it is commonly considered an antagonist medication.

How Often Can You Get a Vivitrol Shot

The first Vivitrol shot should come between seven and 14 days after opioids or opiates have left the system. If opioid or opiates are present in the body after injection, this could spark powerful withdrawal symptoms. From the date of the first injection, each subsequent shot should come every four weeks until treatment is completed. Experts recommend that medical professionals injecting Vivitrol alternate buttocks with each injection to reduce the chance of adverse reactions.

Since Vivitrol is neither an opioid nor an opiate, patients do not have to step down their dosage at the end of treatment. Addiction experts advise, however, that patients continue to adhere to a recommended psychological or psychiatric counseling regimen to help strengthen the addict against relapse.

Can You Get Hepatitis From Vivitrol

While hepatitis is listed as a rare and possible side effect of Vivitrol and its active ingredient of naltrexone, the National Institutes of Health claim that the connection is not clear. According to their website overview of naltrexone, “the role of the medication in the liver injury has not always been clear and there has been no clear description of the clinical features of the injury.  Thus, while often considered hepatotoxic, naltrexone has not been definitively linked to cases of clinically apparent liver injury.”

The overview went on to say that naltrexone is rapidly processed by the liver into inactive forms. Some experts suggest that liver disease reports may have come from the use of naltrexone on alcoholics who may already have damaged their liver pretreatment.

Although the link between Vivitrol and hepatitis has never been scientifically proven, most consider it prudent to list it as a possible side effect due to the serious nature of hepatitis and other liver diseases.

Contact Us

Riverside Recovery Center serves as one of the premier addiction treatment centers in northwest Washington state. For over two decades, its medical professionals and staff have implemented caring and effective treatment protocols to help individuals overcome a wide variety of addictions to lead a more productive and healthy life. The staff at Riverside Recovery Center understand that each patient is an individual, and as such will receive a specialized treatment plan that addresses their particular needs and issues.

If you or a family member have started down the slow-motion tragedy of addiction, help is as close as a phone or an email. Reach out to Riverside Recovery Center today.