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Addiction and other Behaviour Disorders

Any activity, substance, object, or behavior that has become the major focus of a person’s life to the exclusion of other activities, or that has begun to harm the individual or others physically, mentally, or socially is considered an addictive behavior. A person can become addicted, dependent, or compulsively obsessed with anything.  Dr Rajesh Birman says that some researchers imply that there are similarities between physical addiction to various chemicals, such as alcohol and heroin, and psychological dependence to activities such as compulsive gambling, sex, work, running, shopping, or eating disorders. It is thought that these behavior activities may produce endorphins in the brain, which makes the person feel “high.”  Some experts suggest that if a person continues to engage in the activity to achieve this feeling of well-being and euphoria, he/she may get into an addictive cycle. In so doing, he/she becomes physically addicted to his/her own brain chemicals, thus leading to continuation of the behavior even though it may have negative health or social consequences. Others feel that these are just bad habits. “Habit is first step of addiction process”, says Dr Birman.


Most physical addictions to substances such as alcohol, heroin, barbiturates or smoking also have a psychological component. For example, an alcoholic who has not used alcohol for years may still crave a drink. Thus Dr Rajesh Birman as apsychiatrist feel that we need to look at both physical and psychological dependencies upon a variety of substances, activities, and behaviors as an addictive process and as addictive behaviors. They suggest that all of these behaviors have a host of commonalities that make them more similar to than different from each other and that they should not be divided into separate diseases, categories, or problems.


Common Characteristics among Addictive Behaviors

After years of practice, as clinical sexologist and psychiatrist in Delhi, Dr Rajesh Birman finds out some common characteristics among the various addictive behaviors:

The person becomes obsessed (constantly thinks of) the object, activity, or substance. They will seek it out, or engage in the behavior even though it is causing harm (physical problems, poor work or study performance, problems with friends, family, fellow workers). The person will compulsively engage in the activity, that is, do the activity over and over even if he/she does not want to and find it difficult to stop. Upon cessation of the activity, withdrawal symptoms often occur.  These can include irritability, craving, restlessness or depression.  The person does not appear to have control as to when, how long, or how much he or she will continue the behavior (loss of control). (eg. They drink 4 beers when they only wanted one). He/she often denies problems resulting from his/her engagement in the behavior, even though others can see the negative effects. Person hides the behavior after family or close friends have mentioned their concern. (hides food under beds, alcohol bottles in closets, doesn’t show spouse credit card bills, etc).Many individuals with addictive behaviors report a blackout for the time they were engaging in the behavior (don’t remember how much or what they bought, how much the lost gambling, how many miles they ran on a sore foot, what they did at the party when drinking).Depression is common in individuals with addictive behaviors. That is why it is important to make an appointment with a physician to find out what is going on. Individuals with addictive behaviors often have low self esteem, feel anxious if the do not have control over their environment, and come from psychologically or physically abusive families.


What Causes Addictive Behaviors

There is no consensus as to the etiology (cause), prevention, and treatment of addictive disorders. According to Dr Birman, person may be prone to addiction by birth and time social factor plays important role.

As an example of this confusion, Dr Rajesh Birman considers addictive behaviors such as gambling and alcoholism as “diseases,” but he also consider them to be behaviors learned in response to the complex interplay between heredity and environmental factors. Still others argue for a genetic cause. Some researchers point out that, unlike most common diseases such as tuberculosis, which has a definite cause (a microbe), and a definite treatment model to which everyone agrees, there is no conclusive cause or definite treatment method to which everyone agrees for most of the addictive behaviors.

This lack of agreement among experts causes problems with prevention and treatment approaches for many addictive behaviors. Professionals debate whether abstinence total or controlled and moderate use of a substance (such as alochol) or activity (such as gambling) is effective. Others debate whether or not a medication is a desirable treatment method. In the area of addiction to food or exercise, of course, few advocate total abstinence as a solution. If you think you, or a family member, might be addicted to a substance, activity, object, or behavior, please connect Dr Rajesh Birman(Clinical sexologist and psychiatrist), do it today.

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