When talking about drug and alcohol problems, most people use the terms addiction and dependence interchangeably, but they are actually two different things.  Often these two separate issues do go hand in hand and are both present in an individual, but in other cases, they can appear independently.  Knowing the differences between these two terms, and they ways in which they may interact with each other, is vital to delivery of appropriate recovery treatment.

Drug Dependence

Many people believe that dependence is the equivalent of addiction, but in many cases it actually is not.  The word dependence is used to describe a situation in which a person needs to ingest a drug or medication to feel normal and to continue normal, everyday functioning.  Someone who is physically dependent on a drug may have begun using that drug for a legitimate medical use and that drug may have been prescribed to him or her.  As a result, some people who are drug dependent are in denial of it because they do truly need to use the prescribed drug as medicine. Alternately, someone can become dependent on a drug apart from medical advice, either through regular use of an illegally obtained drug, or simply through the frequent and consistent consumption of alcohol.

A growing tolerance to medications or to recreational drugs can be seen as dependence and may indicate a developing addiction.   As a brain and body adapts to the effects of a drug, a user is more likely to experience painful and uncomfortable withdrawal symptoms if they try to quit.  Dependence is really mainly a physical reliance on a substance.  Although a dependent user will not typically experience a loss of control over his or her life from using, he or she will experience physical symptoms of withdrawal such as nausea, vomiting, tremors, chills, sweating and low blood pressure, as well as psychological symptoms including irritability, depression, anxiety, and fuzzy thinking when unable to maintain at least a baseline level of the substance in the body.

However, these symptoms are not always the case either – it varies and certainly depends on the medication that is prescribed.   Some people are dependent on drugs for heart conditions, seizures, asthma, and a wide variety of other ailments.  Although these people are dependent on their medication in order to manage their lives and life each day in a healthy manner, they may not experience any withdrawal symptoms at all if they forget to refill their prescription on time.  They are still dependent on their medication, though, and may suffer in other ways if they do not take their prescribed medication per their doctor’s orders.

Drug Addiction

Someone who is only dependent on drugs without actually being addicted will likely not experience a loss of control, strong cravings for their drug of choice, participate in compulsive drug use, or fail to meet obligations.  An addict, however, will likely experience all of these things.  People who are addicted to drugs or alcohol are characterized as people who consistently use those substances, and use them to excess.  They may find themselves in dangerous situations, may knowingly jeopardize their health, and may neglect important commitments at school, home, or work.  Addicted individuals likely participate in behavior that is destructive to jobs, homes, finances, friendships, and family relationships.  Psychology Today defines addiction as an activity initially enjoyed by a person, but with repeated use and higher amounts needed to achieve a similar high that can become self-destructive or even life threatening for the abuser.   A person who is addicted is no longer taking a drug to feel its effects, but rather to escape withdrawal and feel normal.  Whereas dependence is mostly a physical reliance on a substance, addiction is more all encompassing, and includes not only a physical reliance, but a mental and emotional one as well.

Unlike dependence, addiction can apply to other things besides drugs and alcohol, such as gambling, sex, eating, or compulsive internet use.  Studies have shown that addiction can form in individuals as a result of genetic makeup, combined with environment.  A child of a parent with a drug addiction is eight times as likely to become an addict himself or herself, but also, even an individual with no family history of addiction can be at risk, too.  Scientific research has found that there are actual neurochemical differences between a normal person’s brain and an addict’s brain, showing that some people are predisposed to addiction, but it is still at least a partial mystery as to why that is.

The Difference Between Drug Addiction and Dependence

The main difference between dependence and addiction and most simple way to differentiate between the two is that dependence is when a drug is required to and allows someone to maintain normal functioning, whereas, conversely, addiction actually interferes with an individual’s normal functioning.  The treatment for these two conditions differs. People who are dependent on a drug or alcohol must detox from that substance; dependence can be managed and resolved through slowly lowering the dosage through tapering. They also may be prescribed medications to help them avoid relapse and will almost definitely also attend counseling and group therapy to stay off the drug in the future.  Addiction recovery treatment certainly also includes counseling and group therapy, but it may or may not require detoxing.  Furthermore, treatment for addiction must also seek the root of the problem in the individual, which may be related to mental health issues, depression, or anxiety.

In the United States today, there is no denying that we are in the midst of a terrible and tragic opioid epidemic.  Opioids, even when used as prescribed, can cause physical dependence, and when misused, can lead to addiction.  Two million people in the United States are dependent opioid prescription drugs, and five million Americans use opioid pain relievers illegally, or without medical supervision.  Sadly, when someone becomes addicted to opioids, they quickly see firsthand how difficult it is to break free from their hold.  Some find success in traditional in-patient or outpatient drug rehabilitation programs.  Alternately, others find “replacement therapy” treatment using Methadone or Buprenorphine to be helpful.  Although some consider the use of these substances to simply be a transfer of one addiction for another, for individuals who are mainly experiencing dependence rather than an addiction, this replacement of a similar but less dangerous drug may be all they need to break free from the opioid.

Still others turn to ibogaine treatment, which can be helpful for both people suffering from dependence and those experiencing addiction.   An ibogaine detox such as what we offer at Clear Sky Recovery in Cancun, Mexico can help people avoid painful withdrawal symptoms and offers a detoxification process that has changed the lives of many.  During a weeklong stay at our facility, clients receive before care, aftercare, a medically supervised detox, one-on-one therapy, and comfortable accommodations in a lovely property located right on the beach.   Ibogaine therapy allows addicted or drug dependent individuals a way to interrupt their addiction and to go deep within themselves to find the roots of the problem.  Our intake specialists are standing by to answer your questions, so please give us a call today.  We look forward to hearing from you and to helping you get started on your recovery journey.