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Avatar universal

A Disease??

If drug addiction is a disease, say like diabetes or cancer, why does the afflicted person feel so much shame and rejection??  I have been on again, off again addict.  My family has been there when I have needed them.  Now that I am "on again", why are my loved ones excluding me from holiday get togethers??  Or family parties??  It hurts so badly.  I feel as though they are sick and tired of my relapses, and truly dissapointed in me when I have relapsed in the past.  This time they are excluding me from the holiday family get togethers.  It hurts so badly.  

Back to my quesiton, If addiction truly is a disease, why is there so much shame?????
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Avatar universal
I don't want to sound harsh when answering your question.I'm an addict,so I know the shame and guilt that comes with that,and I know that there were times when I felt rejected.However,I don't compare my addiction to cancer or diabetes.My mother died of breast cancer.There was nothing she could do about it.There was nothing she could stop doing that would make her better and keep her here with us longer.Her disease was out of her hands.She didn't cause it and she couldn't fix it,no matter how hard she tried or how much she wanted to,in order to stay here with us.
You can do something about your addiction.There is a way to control it.It's not a hopeless situation.
It was horrible to watch my mother die from her disease.It was one of the most helpless frustrating times in my life,but NOTHING she did caused it and NOTHING she did could change it.I can only imagine how my family must have felt when I was active in my addiction,having to watch me literally on a path of destruction that all too often ends in an addicts demise,knowing that I had the power to stop it.Yet NOTHING they said or did could change it.It was up to me.I wasn't only destroying my future,I was destroying a part of theirs,the part of theirs that included me in it.
I would think that sometimes our families just can't stand the pain anymore,or the helplessness,or hopelessness that we cause them.Sometimes they just love us so much,too much,that they just can't stand to watch us destroy ourselves any longer.They distance themselves in an attempt to protect their own hearts from the pain,or they distance themselves as a way to try to wake us up,make us hit a bottom,want them back,want our lives back,want all that more then we want the drugs.I think down deep it has little to do with shame or rejection,thats just the way we perceive it at the time.Just my opinion.All the best.....Kim
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Avatar universal
Hi,

When I first got clean all those years ago I was also really ashamed.  I had lost *all* of my friends and most of my family didn't want much to do with me.  I discovered that by talking about addiction with other recovering addicts I was able to see that I wasn't alone in this.  I had done bad things because I was out of control, but other people had done similar things.  Now I don't feel ashamed about my past.  It was my past that got me to where I am today and so even though it was painful I must say that it's all worked out pretty well :)  Of course I had to go through a rehab process (I went to this alcohol rehab) in order to get to a point of acceptance.  Somebody once told me that there "is nothing you've done that is so weird that they don't have a name for it yet", which is sort of reassuring - other people have been down this path and recovered.

:)
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Avatar universal
man i feel ya.ihurt,dissapointed ,embarrested etc. my family for years ,it took me much longer to gain their respect back. they have long memories,where we tend to forget.they know i'm back to no good because i now tell them everything,they have been to a couple alanon meetings just lately, i'm 47,we can actually relate now even though i'm using.they also know i'm trying to do something about it now.i've been left out of many holidays,mainly because my neices and nephews were there.my siblings didn't want me there to have their kids see me messed up.they know i will never go to that extent again.im trying today.yes addiction is a disease KIM715puts things right in perspective.the good thing is,this disease can be arrested some cancer patients dont have that option.
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495284 tn?1333894042
COMMUNITY LEADER
I lost my father to melanoma cancer that metastized to his brain.  He had no choice in his disease.......I do have that choice in mine.  I also believe many of the people dont understand this addiction or disease.  Some think we should just quit and everything will be wonderful.  It doesnt work that way.  Hopefully someday the world will be educated enough to know that we are good people that come from all walks of life and there wont be the shame that is cast upon us.         sara
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614557 tn?1243708351
I think addiction is a symptom of psychological disease.It is said addiction is a brain disease, and while that may make sense, think of this- How many people do you know that become addicts without some emotional situation being directly linked to it? I don't know any.I became an addict because I was depressed about my life.I have had a depression disorder as far back as I can remember.
You cannot choose whether or not you have a psychological disorder, but you can choose how you deal with it- and using drugs or alcohol to a point where you become addicted doesn't seem like a disease in itself.You made a choice to become an addict, you do not make a choice to have psychological diseases or disorders.
And as far as shame is concerned- you feel shame because you know it is wrong.You lose self control, and when you are to a point where it shows to people who care for you, you either did it accidentally or because you are truly crying out for help.Most addicts stop caring what people think at a certain point, you should be glad you still care, and get some help.
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Avatar universal
I didn't become an addict because of any emotional situation.I really wouldn't use the the words that I chose to become one either.I started taking the pain meds because of medical problems and then I built up a tolerance and started taking more and more to continue to get that 'warm and fuzzy' feeling all the time.The thing I loved most about them is all the false energy they gave me.How I just felt like superwoman on them and how I didn't think there was any task or situation I couldn't handle.Of course that feeling didn't last.I began taking more and more to chase a feeling that I was never going to get again. Like a lot of addicts though,I really believed that I had it all under control.I honestly believed for a long time that I could just stop whenever I wanted to,that what I was doing was no big deal.I would tell myself and anyone who would listen that I was taking them for my back pain,and one didn't work anymore so I had to take 2 at a time to keep the back pain away so that I could function.Was I lying to myself,absolutely.Looking back I had been lying to myself and everyone around me for a very long time,but at the time,for the most part at least,I really had myself falsely convinced that I was taking the pills for the pain and not for the high.I'm an addict and I have no one to blame for that but myself,but I NEVER choose to be one.
I did chose to see the truth and admit to myself and to everyone around me that I had become an addict and thats when I choose to get help and take my life back.
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210982 tn?1280983895
I am working on my Master degree in Counseling and I just took a class called Theories of Addiction and the newest research states that addiction is NOT a disease. It is a choice! Now, please don't misunderstand, after you have been using for a while it becomes very difficult and sometimes life threatening to quit and medical intervention is needed. However, the new research did not get as much attention as the old research which stated that addiction was a disease. Yes there is still some family issues that come into play when it comes to addiction, but there is no gene, as previously reported, that makes any of us more prone to become an addict. It comes down to your DOC, length of use, amount of use, etc. I know there will be those that disagree with this post, and that is fine...but don't kill the messenger. I am just reporting the newest research!
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699295 tn?1295358345
addiction is a choice? i can kinda see that...i think that's what a room full of non-addicted people came up with. the decision to become clean is our choice. and i have a problem calling it a disease...that projects a promise of a cure...which there isn't. we're always gonna be addicts, always gonna be alcoholics, it doesn't go away. maybe think about it like a virus that goes into remission...cuz if we slip up, it's back. diseases don't do that. and the research i find shows that there is an addiction gene...the ones without it will abuse a drug, detox from it and be done, and i've seen it before, no cvravings, nothing...some people will have terrible cravings for months to years...these are the people i believe have the addict gene. i believe the gene is in my family. too many generations from different walks of life, different social ladder...and we're almost all addicts of sometype. i'm sorry if this sounded snippy...i've had a really bad couple days. just my thoughts.
                                                   -mjax024
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199177 tn?1490498534
kim and sarah,
great posts very true
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606696 tn?1268737468
This is from someone who comes from a family full of addicts...I believe there is a addiction gene. What I don't get is why some people in my family can use for years and just quit and be done and others like myself started using for pain and got addicted in a very short amount of time. I had taken pain pills a number of times and was able to just throw them out when I was done...I would have refils that I never refilled...what changed in me, what made me go from being able to throw them out when I was done to not being able to get enough? My sister was on pain pills for years...When her pain was gone she stopped taking them..just like that. She was on them for 5 years everyday and had no problems with quitting. I know I have ALOT of emotional baggage that she didn't have...is that why I got addicted? I know this doesn't make alot of sense and I am rambling but this subject gets me thinking.
   My husband did alot of research on addiction, so he could better understand what I was going through. He found out that 66% of americans are addicted to something....66% that is alot of people. I don't know what my point is but this post really got me thinking...Like my husband told me yesterday, We have nothing to be ashamed of...We didn't mean to get addicted and there are more people out there addicted then alot of people think. Hope this makes a little sense...its still early...lol. ~Susie
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699295 tn?1295358345
i promise i'm not trying to pick on you...but the class you're taking is part of the problem with the social stigma associated with addiction. if it's not a disease then 2 out of 3 people in this country make a daily choice to destroy their lives, families, jobs, relationships? this is why i believe addicts make the best counslers. the only reason that medicine wants to have addiction not classified as a disease is because then insurance companies get to stop paying for recovery, remember, the people here who were addicted to heroin didn't choose to pick up methadone, their doctor did, then when the methadone was a problem, the give suboxone. it can't be cured...only treated. we just need the medial community to see that it is a continus(sp) recovery. again, sorry, it's just a moody morning.
                                                             -mjax024
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401095 tn?1351391770
I no longer feel ashamed about this problem..not sure if if it is a disease or not....but there are other diseases that carry shame for some..HIV, hep C..some cancers...leporacy used to carry alot of shame with it...impotence...to list a few....i am not sure what it is to be called but i do know as recovery goes on my shame was much less..no big secret anymore
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480448 tn?1426948538
This is a great discussion.

What I have learned and what I believe is that addiction isn't necessarily a "disease" as we would classify cancer, or diabetes.  Those are physical abnormalities in the body that we TRULY have no control over.

Addiction boils down to behavior and psychology.  People become addicted in many different ways.  Some from chasing a recreational high, some as a result of chronic pain issues, etc etc.  Addiction is diagnosed as a psychological disorder, just as depression, anxiety, OCD, etc.  Psychiatrists use the "Diagnostic and Statistical Manual of Mental Disorders" (or DSM) to diagnose a mental disorder.  Substance abuse is diagnosed using the same manual.  Unlike a PHYSICAL disease or disorder, which can be Dx-ed using lab work, and X-Rays.....a psychological disorder is dxed by a person meeting so many characteristics that fits that disorder.

Is there a genetic component?  I think you'd be hard pressed to find a doctor or psychiatrist who DOESN'T believe that.  There have been innumerable studies that show a very strong link in families for any psychological disorder, especially addiction problems..

The guilt and shame comes from ownership.  While addicts eventually become pretty much powerless over the substance...it still boils down to a BEHAVIOR.  Quitting abuse of a substance isn't IMPOSSIBLE, it CAN be done....it is just the hardest thing under the sun.  However, the whole process is essentially a behavior...whether intentional or not......a person with cancer doesn't "choose" to have cancer....whereas an addict SOMEHWERE along the line loses control...and everything that results...all the turmoil, the family problems, money issues...you name it...are a direct result of that "choice".  How COULDN'T there be shame and guilt?

I wish there WAS more compassion for addicts and people that struggle with this...it would make getting help that much easier.

Anyway....this is a debate that will be around forever.  Just as alcoholism being classified as a "disease".  Same thing.  Ini many ways...the genetic predisposition so many people have for alcoholism or substance abuse makes it hard to ignore that as a possibility....but again....it differs from an actual physiological alteration in the body that is present with a disease like cancer, diabetes, heart disease, etc.

Any which way...regardless of "how" it is classified...I strongly feel that an addict deserves that same compassion and support that someone with cancer would get.  Sure, the mechanisms are different....but each person needs support and help to beat it.  The one wonderful thing is......it isn't impossible.  It may seem that way...but recovery IS possible...as we've seen here time and time again.  That in itself should give people a lot of hope.
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Avatar universal
you took the words out of my mouth.  i was going to say that i would consider addiction more of a personality disorder rather than a "disease".  i feel it is very much an obsessive compulsive type of behavior.  that is, it is very difficult for the addict to conrol his or her behavior with regards to drug use, or whatever is the addiction.  keep in mind that addiction does not necessarily mean drugs.  could be gambling, s*x, eating, doesn't even have to be something that is bad for a normal person.  also keep in mind that mental illness itself has a really bad rap as well and a lot of people who are chronically depressed, or worse, may be schitzophrenic and paranoid, are looked down upon and even feared by "normal" people.   i think most people are afraid of behavior that they don't understand.  but back to addcition, i can see why loved ones may be wary of us.  don't we become expert liars when we are using?  i certainly did.  i would lie to anyone about anything just to get my drugs.  so trust has to be rebuilt, and that takes a lot of time and effort at proving yourself worthy of trust again.  when my sister was drinking, i would not let her into my home because i knew she would rob me blind.  did that mean i didn't love her?  of course not, but did i trust her?  of course not, either.  so yes, of course we deserve compassion, but we damaged a lot of our close relationships when using and there really is no one to blame but ourselves.  we just have to suck it up and accept it and try to rebuild trust from the ones that love us.

Kova
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480448 tn?1426948538
Excellent post, Kova.  Very well said.
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Avatar universal
this is great conversation.i'm from buffalo ny and on channel15 there was a half hour show talking about this very subject.there trying to sell a book called THE ALCOHOL AND ADDICTION CURE $29.99.these people say that addicts have an underlying condition that we haven't dealt with etc.this book can be bought over the internet,after all these interesting posts i am going to buy it
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210982 tn?1280983895
I don't fell picked on I am just stating the facts. Addiction is not a disease! I have addictions in myfamily too and no one forced them or myself to drink too much or take too many pills. We all make a conscious choice to put that substance into our bodies (I did too)! I still do and right now I am choosing to continue to use the pills because I am not ready to deal with the w/d's and the pain to follow. I think calling addiction a disease just takes all personal responsibility out of the equation. Have you ever thought that the reason addiction comes in families is because it is a learned behavior. If we grow up seeing everyone around us drinking or getting high whenever there is a problem then what do we learn from that?? I myself always thought and was taught that addiction was a disease, but I can't say that I ever truly bought into the idea because as someone else stated on here, when you have a disease like cancer, you can't do anything to stop that...but if you are addicted to something then you can quit using it. Will it be easy...HELL NO!! But is anyone forcing that pill down your throat or that drink...NO, you choose, just like I choose, to take the substance. Now, how our bodies react to the substance is purely individual...but again, not a disease. The cure to addiction...DON'T USE!!! Now before you bash me, please note that I am including myself in this...I also choose to use...
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Avatar universal
Hi I unfortunately I don't really agree that addiction is a disease,  or I should say it should not be compared to cancer, My mother got cancer when she was 32yrs she died when she was 39yrs of lung cancer. With her disease Cancer, she couln't do anything about it this disease slowly killed her,she did everything the doctor wanted her to do but she still died. I find with me I'm an addict and I'm fighting everyday to get clean see we have that power, we can fix our "disease" I don't mean to sound harsh but I watched my mother die a slow painful death from a disease that they still have no answers for. I hope things get bettter for you, All you can do is try to get clean and stay that way then people will realize your trying and  hopefully you succeed! sky537
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Avatar universal
Nursegirl.....You said what I was trying to say,only so much better.I don't believe that I chose to be an addict.However,at some point I couldn't fool myself anymore.I knew I was an addict long before I ever sought out any type of help or even chose to exercise any type of control over my addiction.I couldn't deny any longer that I was out of control and that I was destroying my life and my families lives.Towards the end there weren't enough drugs out there to numb me enough that I couldn't see what I had become,what my life had become.However,I chose to continue that behavior for a long time before I put any effort into taking control of my life back.I had the power all along to stop it,I just didn't.So although I wouldn't say I chose to be an addict initially,I certainly chose to continue on being one and living the addictive life style long after the fact....Peace and love...Kim
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699295 tn?1295358345
no bashing...i'm definatlry the text-book addict. i also don't agree that addiction is a disease...like i said before disease alludes to cure. if we live with this for ever, we're never cured...just another day clean. i totally understand the choice to use...and everyones reason differs. i didn't choose cancer...i didn't choose morphine (my oncologist did)...i did choose to ask him to taper me off, he refused trying to downplay the wds...(what a crock)...i chose to keep using for years, thats my bad. as for the gene...it doesn't say you'll be an addict...it predisposes you to have an addictive nature. noone chooses to be addicted...even if they choose to take the meds.
Helpful - 0
401095 tn?1351391770
I am not into to technical terms anyway..and do not really care what addiction is called but i do know it is a problem..i do beleive there is somthing in some of our brains that is not quite right or that is out of balance..i truly do...i took hydros for a couple of different surgeries over the years and hated them..hated the way they made me feel..actually asked them to give me anything but those....then one day i took one after a few years of not taking any and it was different..totally different..they hit my pleasure button...i loved the energy they gave me and felt like i was the energizer bunny...then they turned on me and that feeling was no longer there..and if i took them right now that feeling would not be there as i have had them for a procedure and pain episode since i quit...something has changed in my brain again and they do not make me high/only yucky feeling...disease, psychological disorder/perhaps as bipolar and major depression are an example of when chemicals are off whack in the brain...just know the pills do not hit veryones pleasure center...and if u ask people u will find that out..they did not get any reinforcement from taking the pills and can take them as needed as they r not lacking the chemical we are..I also feel that if the pills would not have been available i would not have fell into the pattern...so i thnk for me it was 1. availability 2. the right (wrong) time in my life 3. a chemical or NT depletion that I have in my brain
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Avatar universal
Definition of Disease:          

A disordered or incorrectly functioning organ, part, structure, or system of the body resulting from the effect of genetic or developmental errors, infection, poisons, nutritional deficiency or imbalance, toxicity, or unfavorable environmental factors; illness; sickness; ailment.

Does this describe anyone besides me here.....I accept that I'm a recovering addict. We don't choose the disease it chooses us, No matter what it is.


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Avatar universal
Because drugs are a completely different thing then cancer.

Nobody makes someone drink and drink and drink until they become an alcoholic.

Nobody makes someone snort coke, do pills or shoot up.  that's a choice.

A person may be genetically made up of addiction but nobody forced them to take that first drug. Or do it again. And again. And again.

I mean really....look at two people.  One is fighting for their life due to cancer. The other one is fighting an addiction to just say no to pills.  Do u think there is a comparison between the two "diseases" at that point? I don't think that is fair....to lump an addiction in with a cancer patient.  The cancer patient didnt ask for it.  U say well neither did the addict. But, actually they did.  They did NOT have to try drugs for the first time. Or, here's an idea.....they could have taken responsibility for themselves....checked their family history to see if addiction runs in the family before they decided to do what ever drug.   (I am just throwing this out there to see who feels what)

My aunt died of cancer.  A slow, agonizing death. Pure hell for her and her family. I watched my mom suffer everyday in emotional pain. And cry. And be so sad. And depressed. I watched my aunt wake  up everyday  and be so happy she got one more day with her kids and grandkids.  

I watch my bf go thru pill withdrawl and im sorry...but, my heart doesnt break for him like it did my aunt.

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Avatar universal
But by that theroy, an addict should be able to get away with anything really....because it isnt their fault that they were put together this way....
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