Why do people keep using drugs? (Even when it’s wreaking havoc in their lives)

Updated: Aug 27


Why do people keep using drugs?


Many people start using substances to feel good, to feel better, to do better, or out of curiosity. However, as a SUD develops and progresses, it affects brain function, and a person’s ability to control their use diminishes. What was once a decision to use turns into a compulsion. This is why engaging with treatment as soon as possible is so important. “This impairment in self-control is the hallmark of addiction” according to NIDA.[1]



While the initial decision to use alcohol or drugs is voluntary, no one chooses to become addicted.



Addiction and the Brain


According to the National Institute on Drug Abuse (NIDA), addiction is a medical disorder that affects the brain and changes behavior.


NIDA is a center within the U.S. National Institutes of Health (NIH) that focuses on addiction. There are separate institutes within the NIH that focus on major health conditions like cancer, heart disease and infectious diseases. The researchers and scientists at NIDA advance the science of how to prevent and treat substance use disorders through clinical research and education.


In the early 1990s, scientists began to understand how repeated substance use affects the brain. Brain scans showed that as is the case with other diseases, SUD affects tissue function. For a SUD, two main parts of the brain are affected: the limbic system and the cortex.


Science also shows that the brain can recover from a substance use disorder. It takes time, treatment and abstinence. Brain scans show the survival circuit in a healthy brain compared to the brain of someone with a methamphetamine use disorder after one month of abstinence, and then 14 months of abstinence.[1] The activity in the survival circuit starts to regain normal levels the longer a person is in recovery and returns to its previous state.



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An excerpt from Navigating Addiction and Treatment: A Guide for Families, Addiction Policy Forum, 2020.




A Note From Addiction Policy Forum


Substance use disorders get worse over time. The earlier treatment starts the better the chances for long-term recovery. Many families are wrongly told to “wait for rock bottom” and that their loved one needs to feel ready to seek treatment in order for it to work. The idea that we should wait for the disease to get worse before seeking treatment is dangerous. Imagine if we waited until stage 4 to treat cancer. Decades of research has proven that the earlier someone is treated, the better their outcomes—and that treatment works just as well for patients who are compelled to start treatment by outside forces as it does for those who are self-motivated to enter treatment.


Help is Here


If you have questions or need to speak with someone for support, call or text (833) 301-4357 today. Our staff of trained counselors at Addiction Policy Forum provides free, confidential support to anyone in need of help with a Substance Use Disorder issue, including patients, families and healthcare providers.




Addiction A - Z Topics


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