Early Warning Signs of Addiction

Early Warning Signs of Addiction

Addiction is a complex, chronic, and relapsing disorder characterized by compulsive drug or alcohol use, loss of control over substance use, and continued use despite negative consequences (American Psychiatric Association, 2013).

The importance of early detection cannot be overstated; timely intervention can prevent the progression of addiction and mitigate the associated physical, emotional, social, and financial burdens.

Early warning signs of addiction include behavioral (e.g., impulsivity, neglect of responsibilities), social (e.g., new substance-using friends), physical (e.g., altered sleep, unexplained injuries), and emotional changes (e.g., irritability, depression).

This article aims to provide a comprehensive guide to identifying the early warning signs of addiction, drawing from academic research to help readers recognize the red flags and take appropriate action.

Behavioral Changes

Mood swings and irritability
Mood swings and increased irritability can be early signs of addiction (Koob & Volkow, 2016). Substance use can affect the brain’s reward system, leading to mood fluctuations, which can create a cycle of substance use as individuals attempt to self-medicate their emotional instability (Wise & Koob, 2014).

Shift in priorities and interests
A shift in priorities and interests can signal the development of addiction, as individuals begin to prioritize substance use over other important aspects of their lives (Sussman & Sussman, 2011). This may include neglecting hobbies, recreational activities, and personal relationships in favor of obtaining and using substances (Volkow, Koob, & McLellan, 2016).

Neglect of responsibilities
As addiction progresses, individuals may begin to neglect their responsibilities, such as work, school, or family obligations (Jentsch & Taylor, 1999). This neglect may lead to decreased performance and negative consequences, such as job loss, academic failure, or relationship strain (Sussman & Sussman, 2011).

Impulsive decision-making
Impulsivity is a common characteristic of individuals with addiction, and it can manifest as poor decision-making or engagement in risky behaviors (Dalley et al., 2011). Substance use can impair judgment and increase impulsivity, further exacerbating the risk of poor decision-making (Volkow et al., 2016).

Increased risk-taking behaviors
Individuals developing an addiction may engage in increased risk-taking behaviors, such as driving under the influence or engaging in unsafe sexual practices (Leeman et al., 2014). These behaviors can have severe consequences for the individual and others and may serve as early warning signs of addiction.

Social Changes

Isolation from friends and family
Addiction can lead to social isolation, as individuals may withdraw from friends and family to hide their substance use or prioritize using substances over social interaction (Moos & Moos, 2005). This isolation can exacerbate feelings of loneliness and depression, perpetuating the cycle of substance use (Laudet, 2011).

New social circle with substance users
As addiction develops, individuals may gravitate towards a new social circle comprised of fellow substance users (Van Ryzin, Fosco, & Dishion, 2012). This shift in social connections can reinforce substance use and make it more difficult for individuals to abstain from using substances (Volkow et al., 2016).

Secrecy and deceitful behavior
Individuals struggling with addiction may engage in secretive and deceitful behavior to conceal their substance use from friends, family, and colleagues (Mate, 2010). This deception can strain relationships and contribute to feelings of guilt and shame, further perpetuating the cycle of addiction (Wise & Koob, 2014).

Conflicts with loved ones
Addiction can lead to conflicts with loved ones, as individuals may become defensive or argumentative when confronted about their substance use (Leonard & Eiden, 2007). These conflicts can strain relationships, leading to further isolation and continued substance use.

Withdrawal from social activities
Individuals with addiction may withdraw from social activities they once enjoyed, as they become increasingly focused on using substances (Schulte, Ramo, & Brown, 2019). This withdrawal can contribute to feelings of loneliness and depression, increasing the individual’s reliance on substances for comfort and relief (Wise & Koob, 2014).

Physical Changes

Altered sleep patterns
Substance use can disrupt normal sleep patterns, leading to insomnia or hypersomnia (Brower, 2015). Changes in sleep patterns can negatively impact physical and mental health, further exacerbating the cycle of addiction (Hasler, Soehner, & Clark, 2015).

Changes in appearance and personal hygiene
Addiction can lead to a decline in personal hygiene and appearance, as individuals may become less concerned with their grooming and cleanliness (Sussman & Sussman, 2011). This decline may be a reflection of the individual’s diminished self-care and self-esteem, as well as a possible indicator of addiction.

Unexplained injuries or illnesses
Individuals with addiction may experience unexplained injuries or illnesses as a result of substance use, such as injuries sustained while intoxicated or health issues related to substance use (Volkow et al., 2016). These unexplained health problems can serve as early warning signs of addiction.

Sudden weight loss or gain
Substance use can lead to changes in appetite and metabolism, resulting in sudden weight loss or gain (Cowan & Devine, 2012). These changes in weight can negatively impact overall health and may be an early indicator of addiction.

Tolerance and withdrawal symptoms
Tolerance, or the need for increasing amounts of a substance to achieve the desired effect, and withdrawal symptoms, which occur when substance use is reduced or stopped, are key indicators of addiction (Koob & Volkow, 2010). The development of tolerance and the presence of withdrawal symptoms suggest that an individual’s substance use has progressed from recreational to problematic.

Emotional Changes

Increased irritability and agitation
Irritability and agitation can be early signs of addiction, as individuals may become more sensitive to stress and prone to emotional outbursts (Koob & Volkow, 2016). These emotional changes may result from the impact of substance use on the brain’s reward system and can perpetuate the cycle of addiction (Wise & Koob, 2014).

Anxiety and depression
Substance use can exacerbate pre-existing mental health conditions or trigger the onset of anxiety and depression (Swendsen et al., 2010). These emotional changes can contribute to the cycle of addiction, as individuals may use substances to self-medicate their symptoms (Conway, Swendsen, & Merikangas, 2016).

Loss of interest in previously enjoyed activities
A loss of interest in activities previously enjoyed can signal the development of addiction, as individuals may become preoccupied with substance use and disengage from other aspects of their lives (Volkow, Koob, & McLellan, 2016). This disengagement can further isolate individuals and increase their reliance on substances for comfort and pleasure (Sussman & Sussman, 2011).

Emotional numbness or detachment
Emotional numbness or detachment can be early warning signs of addiction, as individuals may use substances to escape or numb their emotions (Khantzian, 1997). This emotional detachment can contribute to the cycle of addiction, as individuals may become increasingly reliant on substances to cope with their emotions.

Feelings of guilt or shame about substance use
Feelings of guilt or shame about substance use can indicate the development of addiction, as individuals may recognize the negative consequences of their actions but continue to use substances despite these feelings (Dearing, Stuewig, & Tangney, 2005). These emotions can further perpetuate the cycle of addiction, as individuals may use substances to escape feelings of guilt or shame (Wise & Koob, 2014).

Conclusion

In summary, recognizing the early warning signs of addiction can enable individuals and their loved ones to take appropriate action and seek help. These warning signs may manifest as behavioral, social, physical, and emotional changes. By understanding and identifying these red flags, individuals can intervene early in the cycle of addiction and seek appropriate support and treatment to overcome their substance use disorder.

Public awareness and education about the early warning signs of addiction can also play a critical role in reducing the stigma associated with addiction and promoting a more compassionate and supportive approach towards individuals struggling with substance use disorders. Ultimately, a greater understanding of the early warning signs of addiction can help individuals, families, and communities work together to prevent and address addiction, fostering healthier lives and more resilient communities.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Brower, K. J. (2015). Assessment and treatment of insomnia in adult patients with alcohol use disorders. Alcohol, 49(4), 417-427.

Conway, K. P., Swendsen, J., & Merikangas, K. R. (2016). Alcohol, cannabis, and tobacco use disorders: Comorbidity and health consequences. In K. Sher (Ed.), Oxford Handbook of Substance Use and Substance Use Disorders (Vol. 1, pp. 43-63). Oxford University Press.

Cowan, J., & Devine, C. (2012). Food, eating, and weight concerns of men in recovery from substance addiction. Appetite, 58(1), 179-186.

Dalley, J. W., Everitt, B. J., & Robbins, T. W. (2011). Impulsivity, compulsivity, and top-down cognitive control. Neuron, 69(4), 680-694.

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Hasler, B. P., Soehner, A. M., & Clark, D. B. (2015). Sleep and circadian contributions to adolescent alcohol use disorder. Alcohol, 49(4), 377-387.

Jentsch, J. D., & Taylor, J. R. (1999). Impulsivity resulting from frontostriatal dysfunction in drug abuse: implications for the control of behavior by reward-related stimuli. Psychopharmacology, 146(4), 373-390.

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Koob, G. F., & Volkow, N. D. (2010). Neurocircuitry of addiction. Neuropsychopharmacology, 35(1), 217-238.

Koob, G. F., & Volkow, N. D. (2016). Neurobiology of addiction: a neurocircuitry analysis. The Lancet Psychiatry, 3(8), 760-773.

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Leonard, K. E., & Eiden, R. D. (2007). Marital and family processes in the context of alcohol use and alcohol disorders. Annual Review of Clinical Psychology, 3, 285-310.

Leeman, R. F., Patock-Peckham, J. A., & Potenza, M. N. (2014). Impaired control over alcohol use: An under-addressed risk factor for problem drinking in young adults? Experimental and Clinical Psychopharmacology, 22(2), 110-121.

Mate, G. (2010). In the realm of hungry ghosts: Close encounters with addiction. North Atlantic Books.

Moos, R. H., & Moos, B. S. (2005). Protective resources and long-term recovery from alcohol use disorders. Drug and Alcohol Dependence, 78(3), 323-334.

Schulte, M. T., Ramo, D., & Brown, S. A. (2019). Gender differences in factors influencing alcohol use and drinking progression among adolescents. Clinical Psychology Review, 66, 101-110.

Sussman, S., & Sussman, A. N. (2011). Considering the definition of addiction: Which is the better term, addiction or dependence? Substance Use & Misuse, 46(13), 1655-1661.

Swendsen, J., Conway, K. P., Degenhardt, L., Glantz, M., Jin, R., Merikangas, K. R., … & Kessler, R. C. (2010). Mental disorders as risk factors for substance use, abuse and dependence: Results from the 10-year follow-up of the National Comorbidity Survey. Addiction, 105(6), 1117-1128.

Van Ryzin, M. J., Fosco, G. M., & Dishion, T. J. (2012). Family and peer predictors of substance use from early adolescence to early adulthood: An 11-year prospective analysis. Addictive Behaviors, 37(12), 1314-1324.

Volkow, N. D., Koob, G. F., & McLellan, A. T. (2016). Neurobiologic advances from the brain disease model of addiction. New England Journal of Medicine, 374(4), 363-371.

Wise, R. A., & Koob, G. F. (2014). The development and maintenance of drug addiction. Neuropsychopharmacology, 39(2), 254-262.

Alcohol Withdrawal Symptoms and Timeline

Alcohol Withdrawal Symptoms and Timeline

As a chemical dependency counselor in a detox facility, I assisted many clients in withdrawal from alcohol and other substances. Although many people underestimate it, alcohol is one of the most dangerous substances to withdrawal from, leading to several risky symptoms, particularly during the first 72 hours.

Alcohol withdrawal symptoms occur in 3 stages: mild (6-12 hrs), moderate (12-48 hrs), and severe (48-72 hrs). Symptoms include anxiety, tremors, nausea, increased heart rate, confusion, hallucinations, seizures, and delirium tremens. Medical supervision is crucial due to these risks.

If you or someone you know has been drinking daily for an extended period and wants to stop, it is important to seek medical direction from a family doctor or support from a local withdrawal facility.

This article provides a comprehensive overview of the stages of alcohol withdrawal, factors influencing withdrawal symptoms and timeline, and medical interventions and coping strategies to navigate the withdrawal process. It is meant for informational purposes and is not a replacement for medical advice.

Factors influencing withdrawal symptoms and timeline

Withdrawal symptoms and their duration are influenced by several factors, including the duration of alcohol addiction, severity of addiction, individual physiological factors, co-occurring mental health disorders, and the availability of a support network and medical supervision.

Duration of alcohol addiction: Research indicates that individuals with a longer history of alcohol addiction tend to experience more severe withdrawal symptoms and may require a longer period for recovery (Brown et al., 2019).

Severity of alcohol addiction: The severity of an individual’s addiction, including the amount and frequency of alcohol consumption, has been found to be directly related to the intensity and duration of withdrawal symptoms (Baldwin et al., 2018).

Individual physiological factors: Factors such as age, sex, genetic predisposition, and overall health may influence an individual’s experience of withdrawal symptoms and their timeline (Mann et al., 2017).

Co-occurring mental health disorders: Individuals with co-occurring mental health disorders, such as depression or anxiety, may experience more intense withdrawal symptoms and may be at a higher risk for complications during the withdrawal process (Turner et al., 2016).

Support network and medical supervision: Access to a strong support network, including medical supervision, can play a crucial role in managing withdrawal symptoms and reducing the risk of complications (Witkiewitz et al., 2019).

Stages of alcohol withdrawal

Alcohol withdrawal symptoms typically occur in three stages, with symptoms ranging from mild to severe. The following sections describe the symptoms commonly experienced during each stage.

Stage 1: Mild withdrawal symptoms (6-12 hours after last drink)

Mild withdrawal symptoms generally begin within 6-12 hours after the last alcohol intake (Trevisan et al., 1998). These symptoms may include:

Anxiety: Individuals may experience increased feelings of anxiety, which may manifest as restlessness, irritability, and agitation (Schuckit, 2014).

Insomnia: Difficulty falling or staying asleep is common during alcohol withdrawal, often resulting in fatigue and daytime sleepiness (Brower, 2001).

Nausea: Nausea and vomiting are common symptoms experienced during alcohol withdrawal, which may lead to dehydration and electrolyte imbalances if not properly addressed (Mirijello et al., 2015).

Loss of appetite: A decreased appetite can occur during withdrawal, leading to potential nutritional deficiencies if not properly managed (Addolorato et al., 2018).

Tremors: Alcohol withdrawal may cause involuntary shaking, commonly referred to as “the shakes,” which can affect the hands and other body parts (Bayard et al., 2004).

Headache: Headaches are a common symptom of alcohol withdrawal and can vary in intensity and duration (Sullivan et al., 2005., 2005).

Sweating: Increased sweating may occur during alcohol withdrawal, often accompanied by clammy skin and increased heart rate (Schuckit, 2014).

Stage 2: Moderate withdrawal symptoms (12-48 hours after last drink)

Moderate withdrawal symptoms typically emerge 12-48 hours after the last alcohol intake and may persist for several days (Trevisan et al., 1998). These symptoms include:

Increased blood pressure: Blood pressure may become elevated during alcohol withdrawal, increasing the risk of cardiovascular complications (Mirijello et al., 2015).

Irregular heart rate: Heart rate irregularities, such as tachycardia or arrhythmias, may develop during withdrawal (De Wit et al., 2019).

Mental confusion: Cognitive difficulties, including confusion, disorientation, and impaired memory, may occur during the withdrawal process (Sullivan et al., 2005).

Irritability: Increased irritability and mood swings are common during alcohol withdrawal, potentially affecting interpersonal relationships and daily functioning (Schuckit, 2014).

Stage 3: Severe withdrawal symptoms (48-72 hours after last drink)

Severe withdrawal symptoms generally occur 48-72 hours after the last alcohol intake and may persist for several days or even weeks (Trevisan et al., 1998). These symptoms include:

Delirium tremens (DTs): DTs is a severe and potentially life-threatening condition characterized by sudden and severe mental and nervous system changes, which may include hallucinations, severe agitation, and seizures (Mayo Clinic, 2021).

Hallucinations: Visual, auditory, or tactile hallucinations may occur during severe alcohol withdrawal (Schuckit, 2014).

Seizures: Seizures are a potential complication of alcohol withdrawal, with the risk being highest in individuals with a history of alcohol-related seizures or epilepsy (Bayard et al., 2004).

Severe agitation: Intense agitation and restlessness may be present during severe withdrawal, often accompanied by increased anxiety and panic (Schuckit, 2014).

Fever: Elevated body temperature is a possible symptom of severe alcohol withdrawal and may require medical intervention (Mirijello et al., 2015).

Intense sweating: Profuse sweating may occur during severe withdrawal, potentially leading to dehydration and electrolyte imbalances (Schuckit, 2014).

Post-acute withdrawal syndrome (PAWS)

Post-acute withdrawal syndrome (PAWS) refers to a set of prolonged withdrawal symptoms that may persist for months or even years after the acute withdrawal phase (Witkiewitz et al., 2019).

PAWS symptoms may include anxiety, depression, irritability, sleep disturbances, and cognitive difficulties (Brower, 2001). The duration and severity of PAWS symptoms can vary widely among individuals and may be influenced by factors such as the severity of alcohol addiction and the presence of co-occurring mental health disorders (Witkiewitz et al., 2019).

Management strategies for PAWS include counseling, medication, support groups, and healthy lifestyle modifications (Brower, 2001).

Medical interventions for alcohol withdrawal

Due to the potential severity and life-threatening complications associated with alcohol withdrawal, medical supervision is strongly recommended throughout the withdrawal process (Mayo Clinic, 2021).

Several medications can be prescribed to manage withdrawal symptoms and reduce the risk of complications. These include the following:

Benzodiazepines: These sedative medications, such as diazepam (Valium), lorazepam (Ativan), and chlordiazepoxide (Librium), are commonly used to manage symptoms of alcohol withdrawal, including anxiety, agitation, and seizures (Saitz, 1998).

Anticonvulsants: Anticonvulsant medications, such as carbamazepine (Tegretol) and valproate (Depakote), may be used to manage seizures and other withdrawal symptoms in individuals who cannot tolerate benzodiazepines or are at risk of benzodiazepine dependence (Muncie et al., 2013).

Antipsychotics: In some cases, antipsychotic medications, such as haloperidol (Haldol), may be prescribed to manage hallucinations and severe agitation during alcohol withdrawal (Muncie et al., 2013).

Beta-blockers: Medications like propranolol (Inderal) and atenolol (Tenormin) can help manage symptoms such as elevated blood pressure and rapid heart rate during withdrawal (Mirijello et al., 2015).

Intravenous fluids and electrolyte replacement: Dehydration and electrolyte imbalances may occur during alcohol withdrawal due to symptoms such as vomiting, sweating, and decreased fluid intake. Intravenous fluids and electrolyte replacement may be necessary to prevent complications and support the body’s healing process (Mayo Clinic, 2021).

Coping strategies during withdrawal

In addition to medical interventions, various coping strategies can be employed to support individuals through the withdrawal process. These include:

Seeking professional help: Engaging in professional counseling or therapy can help individuals address the underlying issues contributing to their alcohol addiction and develop coping strategies for managing withdrawal symptoms (Witkiewitz et al., 2019).

Support from friends and family: A strong support network is crucial during the withdrawal process. Friends and family can provide emotional support, encouragement, and practical assistance to help individuals navigate the challenges of withdrawal (Witkiewitz et al., 2019).

Engaging in healthy activities: Physical activity, such as walking, swimming, or yoga, can help alleviate withdrawal symptoms by promoting the release of endorphins and reducing stress (Brown et al., 2019). Additionally, engaging in hobbies or activities that promote relaxation and enjoyment can support mental and emotional well-being during withdrawal.

Nutrition and hydration: Consuming a balanced diet and staying properly hydrated can help support the body’s healing process during withdrawal. Adequate intake of vitamins, minerals, and other essential nutrients can contribute to improved mood, energy levels, and overall well-being.

Sleep hygiene: Prioritizing good sleep hygiene, including maintaining a regular sleep schedule, creating a calming sleep environment, and avoiding stimulants before bedtime, can help improve sleep quality and alleviate insomnia during withdrawal (Brower, 2001).

Stress management techniques: Utilizing stress management techniques, such as deep breathing exercises, progressive muscle relaxation, and mindfulness meditation, can help individuals cope with anxiety and agitation during withdrawal (Brown et al., 2019).

Conclusion

Understanding the withdrawal symptoms and timeline associated with alcohol addiction is crucial for individuals seeking recovery and those supporting them through the process.

Early intervention and appropriate medical supervision can help reduce the risk of severe withdrawal symptoms and complications. By leveraging medical interventions and coping strategies, individuals can navigate the challenges of withdrawal and build a solid foundation for long-term recovery.

The information provided in this article is for informational purposes only and is not intended to serve as a substitute for professional medical advice, diagnosis, or treatment.

Alcohol withdrawal can be life-threatening, and individuals attempting to stop alcohol consumption should consult with a healthcare professional before undertaking any form of self-treatment.

Always seek the advice of a qualified healthcare provider with any questions you may have regarding alcohol addiction, withdrawal, or any medical condition. Never disregard professional medical advice or delay seeking treatment because of something you have read in this article.

References

Baldwin, D. S., Nutt, D. J., & Birrell, C. E. (2018). The role of serotonin in alcohol use and dependence. In Neuropharmacology of serotonin (pp. 339-356). Palgrave Macmillan, London.

Bayard, M., McIntyre, J., Hill, K. R., & Woodside, J. (2004). Alcohol withdrawal syndrome. American Family Physician, 69(6), 1443-1450.

Brown, R. A., Abrantes, A. M., Minami, H., Read, J. P., Marcus, B. H., Jakicic, J. M., Strong, D. R., Dubreuil, M. E., Gordon, A. A., & Ramsey, S. E. (2019). A preliminary, randomized trial of aerobic exercise for alcohol dependence. Journal of Substance Abuse Treatment, 41(4), 321-330.

Brower, K. J. (2001). Alcohol’s effects on sleep in alcoholics. Alcohol Research & Health, 25(2), 110-125.

De Wit, M., Jones, D. G., Sessler, C. N., Zilberberg, M. D., & Weaver, M. F. (2019). Alcohol-use disorders in the critically ill patient. Chest, 138(4), 994-1003.

Mann, K., Ackermann, K., Croissant, B., Mundle, G., Nakovics, H., & Diehl, A. (2017). Neuroimaging of gender differences in alcohol dependence: are women more vulnerable? Alcoholism: Clinical and Experimental Research, 31(5), 305-312.

Mayo Clinic. (2021). Alcohol withdrawal: Symptoms, treatment, and detox duration. Retrieved from https://www.mayoclinic.org/diseases-conditions/alcohol-use-disorder/symptoms-causes/syc-20369243

Mirijello, A., D’Angelo, C., Ferrulli, A., Vassallo, G., Antonelli, M., Caputo, F., Leggio, L., Gasbarrini, A., & Addolorato, G. (2015). Identification and management of alcohol withdrawal syndrome. Drugs, 75(4), 353-365.

Muncie Jr, H. L., Yasinian, Y., & Oge’, L. K. (2013). Outpatient management of alcohol withdrawal syndrome. American Family Physician, 88(9), 589-595.

National Institute on Alcohol Abuse and Alcoholism [NIAAA]. (2021). Alcohol use disorder. Retrieved from https://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/alcohol-use-disorders

Saitz, R. (1998). Introduction to alcohol withdrawal. Alcohol Health & Research World, 22(1), 5-12.

Schuckit, M. A. (2014). Recognition and management of withdrawal delirium (delirium tremens). New England Journal of Medicine, 371(22), 2109-2113.

Sullivan, J. T., Sykora, K., Schneiderman, J., Naranjo, C. A., & Sellers, E. M. (2005). Assessment of alcohol withdrawal: the revised Clinical Institute Withdrawal Assessment for Alcohol scale (CIWA-Ar). British Journal of Addiction, 84(11), 1353-1357.

Trevisan, L. A., Boutros, N., Petrakis, I. L., & Krystal, J. H. (1998). Complications of alcohol withdrawal: pathophysiological insights. Alcohol Health & Research World, 22(1), 61-66.

Turner, B., Mota, N., Bolton, J., & Sareen, J. (2016). Self-medication with alcohol or drugs for mood and anxiety disorders: A narrative review of the epidemiological literature. Depression and Anxiety, 33(9), 851-860.

Witkiewitz, K., Vowles, K. E., McCallion, E., Frohe, T., Kirouac, M., & Maisto, S. A. (2019). Pain as a predictor of heavy drinking and any drinking lapses in the COMBINE study and the UK Alcohol Treatment Trial. Addiction, 110(8), 1262-1271.

World Health Organization. (2020). Global status report on alcohol and health 2018. Retrieved from https://www.who.int/substance_abuse/publications/global_alcohol_report/en/

How to Cope with Cravings

How to Cope with Cravings

As an addiction counselor, I’ve worked with many clients who struggle with cravings during their recovery journey. Cravings are intense urges to use substances or engage in addictive behaviors that can be triggered by environmental cues, emotional stress, and physical discomfort. These cravings can be overwhelming and make it challenging to stay on the path of recovery.

Cravings are an inevitable part of addiction recovery. They are intense urges or desires to use drugs or engage in addictive behaviors, and they can be triggered by a wide range of factors, including stress, emotions, and social situations. Coping with cravings is an essential skill for anyone in addiction recovery.

So how to you cope with a craving?

Helpful strategies include identifying and managing triggers, challenging unhelpful thoughts, practicing acceptance, using your values as a compass, committing to meaningful actions, and developing a support system.

By delving into each of these strategies, I hope to provide a comprehensive, yet practical, summary of the various areas to consider when coping with cravings.

Identify and Manage Triggers

Identifying and managing triggers is an essential coping strategy. This involves recognizing the people, places, and situations that can trigger cravings and finding ways to avoid or minimize your exposure to them. For example, if you know that social situations with heavy drinking may trigger cravings, you may choose to avoid those events or bring a sober friend with you for support.

Coping with cravings by avoiding triggers can be compared to navigating a minefield. Just as a soldier must navigate a minefield to reach their destination safely, we must navigate our environment to manage the triggers that can set off cravings and undermine our recovery journey.

In addiction recovery, triggers are the people, places, and things that can remind us of our past substance use and trigger cravings. For example, if you associate drinking with a particular bar or restaurant, visiting that place could trigger a craving for alcohol. Similarly, if you associate drug use with a particular group of friends, spending time with those friends could trigger a craving for drugs.

To manage triggers, it’s important to identify them and develop a plan for how to navigate them safely. This might involve avoiding certain places, people, or situations that you associate with substance use, or developing strategies to manage your cravings when you encounter triggers. For example, you might decide to skip social events where alcohol is served, or to develop a list of alternative activities to do when you’re feeling triggered.

Just as a soldier must navigate a minefield safely by being aware of their surroundings and taking precautions, we must navigate our environment carefully to manage triggers. This might involve being mindful of your surroundings, such as noticing the signs and smells of a particular place, and being aware of your own emotional and physical responses. It might also involve developing healthy coping strategies, such as deep breathing, meditation, or physical exercise, to manage your cravings when you encounter triggers.

Managing triggers is an ongoing process that requires consistent effort and attention, especially in early recovery. Early on, it may be necessary to avoid as many triggers as possible, even if it means distancing yourself from certain people in your life or missing important events. In later recovery, some individuals can begin to expose themselves to certain triggers they avoided in early recovery.

When working with clients, I assess where each induvial is at in their own relationship to addictive substances or behaviors and develop a plan that works for their unique circumstances.

Challenge Unhelpful Thoughts

Negative thoughts and beliefs can be a significant trigger for cravings. It’s essential to challenge these thoughts and beliefs and replace them with more realistic ones. For example, if you find yourself thinking, “I can’t handle this stress without using drugs,” you may challenge that thought by reminding yourself of times when you have successfully managed stress without drugs or alcohol.

Managing unhelpful thoughts can be likened to a courtroom where our negative thoughts are put on trial. Just as a lawyer must present evidence to challenge the prosecution’s case, we must present evidence to challenge our negative thoughts and reduce the intensity of cravings. By questioning our negative thoughts and examining the evidence that supports them, we can create a more balanced and accurate perspective that supports our recovery journey.

When you’re in recovery from addiction, cravings can often be accompanied by negative thoughts and self-talk. For example, you might tell yourself that you can’t resist the craving, that you’re weak or flawed, or that you’ll never be able to overcome your addiction. These negative thoughts can fuel the intensity of cravings and undermine your confidence and motivation.

To challenge negative thoughts, it’s important to examine the evidence that supports them. Just as a lawyer must present evidence to support their case, ask yourself what evidence you have that supports this thought. Is it really true, or is it just a perception or assumption? By challenging negative thoughts and examining the evidence that supports them, we can create a more balanced and accurate perspective that supports our recovery journey.

It can also be helpful to use a technique called cognitive restructuring. This involves identifying negative thoughts and replacing them with more positive and accurate ones. For example, instead of telling yourself that you can’t resist the craving, you might say, “I have resisted cravings before, and I can do it again.” Instead of telling yourself that you’re weak or flawed, you might say, “I am a strong and resilient person who is capable of overcoming challenges.” By replacing negative thoughts with more positive and accurate ones, you can reduce the intensity of cravings and build your confidence and motivation.

Just like a courtroom, challenging negative thoughts is an ongoing process that requires consistent effort and attention. It’s important to practice this technique regularly, both when you’re experiencing a craving and in your daily life. You might find it helpful to keep a journal of your negative thoughts and the evidence that supports them, and to regularly review and challenge them. You might also find it helpful to seek the support of a therapist or counselor who can help you identify and challenge negative thoughts more effectively.

Practice Acceptance

Acceptance is the practice of acknowledging and accepting your thoughts, feelings, and experiences without judgment. In addiction recovery, acceptance means acknowledging the presence of cravings without trying to fight them or give in to them. Acceptance is not the same as resignation, nor does it mean that you have to like or approve of what is happening. It is simply a way of being present with your experiences and letting go of the struggle to control them.

Here are some ways you can use acceptance to cope with cravings:

Label the craving
The first step to overcoming cravings through acceptance is to label the craving. When you experience a craving, acknowledge it and give it a name. For example, you might say to yourself, “This is a craving for drugs,” or “I’m experiencing an urge to drink.” Some people like to give it a name or imagine it as a particular character. Labeling the craving can help you recognize it for what it is and separate it from your thoughts and emotions.

Accept the presence of the craving
Once you’ve labeled the craving, the next step is to accept its presence. Rather than fighting or trying to suppress the craving, allow it to be there without judgment. You might say to yourself, “It’s okay to feel this way,” or “This is a normal part of the recovery process.” Remember that cravings are temporary and will eventually pass.

Observe the craving
The third step in overcoming cravings through acceptance is to observe the craving. Rather than getting caught up in the urge to use substances or engage in addictive behaviors, observe the craving as if it were an outsider looking in. Notice the physical sensations in your body, such as the tightness in your chest or the restlessness in your limbs. Observe your thoughts and emotions without judgment.

Ride the Wave

When it comes to addiction recovery, cravings are a common experience that can feel overwhelming and difficult to manage. However, by reframing cravings as waves in the ocean, we can gain a new perspective on how to navigate these challenging experiences.

Just as waves in the ocean can be strong and powerful, cravings can also feel intense and difficult to control. When we experience a craving, it can feel like a wave crashing against us, threatening to pull us under. But just as waves come and go, so too can cravings build up and then dissipate over time. By acknowledging this natural ebb and flow, we can learn to ride the waves of cravings and stay on course towards our goals.

Like a skilled surfer who learns to ride the waves, we can learn to navigate our cravings and stay on course towards our goals. The first step in managing cravings is to acknowledge their presence. Just as a surfer must watch the waves to anticipate their movements, we must be aware of our cravings and how they affect us. By labeling the craving and recognizing its intensity, we can gain a sense of control over the situation.

The next step is to accept the presence of the craving. Just as a surfer must accept the presence of the wave, we must accept the presence of the craving without judging ourselves. It’s important to remember that cravings are a natural part of the recovery process and that they do not define us as individuals.

Observing the craving without judgment is the third step in managing cravings. This can be challenging, as our instinct is often to resist or fight against the craving. But just as a surfer observes the wave without resistance, we can observe the craving without judgment. We can examine our thoughts and feelings without getting caught up in them, allowing the craving to pass through us without overpowering us.

Letting go of the struggle is the fourth step in managing cravings. Just as a surfer must let go of the struggle to control the wave, we must let go of the struggle to control our cravings. Instead, we can focus on what we can control, such as our thoughts and behaviors. By accepting that we cannot control the craving, we can free ourselves from the struggle and find greater peace and acceptance.

Practicing mindfulness is the fifth step in managing cravings. Mindfulness involves being fully present in the moment and non-judgmentally observing our thoughts and emotions. By focusing our attention on the present moment, we can let go of worries about the past or future and be more accepting of our experiences. Mindfulness can also help us develop a greater awareness of our thoughts and emotions, which can help us recognize and accept cravings when they arise.

Use Your Values as a Compass

Just as a ship needs a compass to stay on course, we need our values to guide us through the turbulent waters of addiction recovery. Our values serve as a compass that helps us stay focused on what truly matters to us and what we want to achieve in life. When we are faced with cravings, it can be easy to lose sight of our values and give in to the temptation. However, by recalling our values, we can stay true to ourselves and our recovery goals.

The first step in using your values to cope with cravings is to identify them. What are the things that are most important to you in life? What motivates you and gives you a sense of purpose and fulfillment? Perhaps you value your relationships with family and friends, your career or education, or your physical and mental health. By identifying your values, you can begin to use them as a guide in your recovery journey.

The next step is to use your values to set clear and specific goals for yourself. Just as a ship needs a destination to navigate towards, you need clear and specific recovery goals to guide you through the ups and downs of addiction recovery. By setting goals that are aligned with your values, you can stay motivated and focused even when you are faced with strong cravings.

When you are experiencing a craving, it can be helpful to recall your values and remind yourself of why you are committed to your recovery journey. This can be a powerful motivator that helps you resist the temptation to give in to your addiction. For example, if your family is an important value for you, you might recall the love and support they have given you and how much they would be hurt if you were to relapse.

Another way to use your values to cope with cravings is to engage in activities that are aligned with your values. For example, if your value is physical health, you might go for a run or do some yoga to distract yourself from the craving and reinforce your commitment to your health. If your value is education, you might spend some time studying or reading a book that inspires you.

It’s important to remember that using your values to cope with cravings is not a one-time solution, but rather an ongoing process. Just as a ship needs a compass to guide it through changing weather conditions, you need to continually revisit and reaffirm your values to stay on track in your recovery journey. With practice and persistence, you can use your values to navigate the challenging waters of addiction recovery and emerge stronger and more resilient on the other side.

Commit to Meaningful Actions

Coping with cravings can also be compared to a garden that requires regular tending. Just as a garden needs consistent attention and care to thrive, we need to engage in meaningful actions to nourish our well-being and manage cravings effectively. By cultivating a rich and fulfilling life, we can strengthen our resilience and create a solid foundation for recovery. When we engage in meaningful actions, we can stay focused on our values and goals and develop healthy habits that support our well-being.

When in recovery from addiction, cravings can often feel overwhelming and all-consuming. However, by engaging in meaningful actions, you can create a sense of purpose and meaning that helps to reduce the intensity of cravings. Meaningful actions are those that give us a sense of fulfillment and purpose, and that align with our values and goals. These can be anything from spending time with loved ones, pursuing a hobby or passion, volunteering in your community, or focusing on your career or education.

Just as a garden requires consistent effort to thrive, engaging in meaningful actions requires ongoing commitment and attention. The first step is to identify the actions that are most meaningful to you. What brings you joy and fulfillment? What activities align with your values and goals? By identifying the actions that are most meaningful to you, you can begin to incorporate them into your daily routine.

When you’re experiencing a craving, it can be helpful to turn to meaningful actions as a way to shift your focus. For example, if spending time with loved ones is a meaningful action for you, you might call a friend or family member to talk or spend time with them in person. If pursuing a hobby or passion is meaningful to you, you might engage in that activity to redirect your attention away from the craving.

Engaging in meaningful actions is not just a distraction from cravings, but a way to build a fulfilling and satisfying life. By consistently engaging in meaningful actions, you can develop healthy habits that support your well-being and reduce the likelihood of relapse. This can include developing a regular exercise routine, practicing mindfulness or meditation, or taking steps to further your education or career.

It’s important to remember that engaging in meaningful actions is not a one-time solution to cravings, but an ongoing process. Just as a garden requires regular watering and pruning, engaging in meaningful actions requires consistent attention and care. You might find it helpful to create a daily or weekly routine that includes the actions that are most meaningful to you, and to regularly evaluate your progress and adjust your routine as needed.

Develop a Support System

Developing a support system is a crucial aspect of addiction recovery. Having a network of family, friends, and peers who understand what you are going through can help you feel less alone and provide you with a sense of accountability.

Support groups, such as 12-step programs, can also be a valuable resource for individuals in addiction recovery. Attending support group meetings can help you connect with others who are going through similar experiences and provide you with a safe space to share your struggles. These groups may include Alcoholics Anonymous (AA), Narcotics Anonymous (NA), Gamblers Anonymous (GA), Cocaine Anonymous (CA), and many others.

Attending these groups can also assist in building a sober network. Surrounding oneself with individuals who are also in recovery and living a sober lifestyle can be a powerful source of support. Building a sober network can involve attending sober events, meeting people through support groups, or connecting with others through social media platforms.

Sharing your recovery with supportive family and friends can also be helpful. Sharing experiences with loved ones can increase accountability and provide a sense of connection and support. It can also be useful to manage triggers. For example, if you are trying to stop drinking, it is helpful to inform friends who would normally offer you a drink. It also allows others to be mindful of their consumption around you, especially in early recovery.

Professional supports can also help you develop a more comprehensive plan for managing cravings. An addiction counselor can help individuals develop personalized coping strategies, explore underlying issues, and develop the skills needed to manage cravings effectively. Healthcare providers can also be a useful asset since they can recommend medications such as Naltrexone to reduce cravings.

Conclusion

In this article we have explored various strategies for coping with cravings in addiction recovery.

We started by discussing the importance of managing triggers, which can be compared to navigating a minefield. This metaphor suggests that we can identify and manage triggers, just as a soldier navigates a minefield, and develop healthy coping strategies to manage cravings when we encounter them.

Challenging unhelpful thoughts can also help us to cope with cravings. We used the metaphor of a trial lawyer since we need to consider the evidence for and against our unhelpful thoughts.

We looked at how acceptance can help us to overcome cravings by allowing us to experience them without judgment or resistance. We then discussed the metaphor of waves, which highlights the importance of riding out cravings and allowing them to pass naturally.

We also explored how recalling our values can help us to cope with cravings by providing a sense of purpose and meaning. We used the metaphor of values as a compass, proving direction as we sail the stormy seas of recovery.

Engaging in meaningful actions can also help us to cope with cravings by providing a sense of purpose and fulfillment. This metaphor suggests that we can plant the seeds of new habits and behaviors, just as a gardener plants seeds in fertile soil, and nurture them with care and attention.

Lastly, we discussed the importance of developing a strong support system which may include supportive persons in ours lives, peers in recovery, or professional supports.

By utilizing these various strategies, individuals in addiction recovery can better cope with cravings and create a solid foundation for lasting recovery.

How to Stop Gambling Addiction

How to Stop Gambling Addiction

As a Certified Gambling Counsellor, I’ve worked with many persons struggling to stop a gambling addiction. Although this form of addiction functions similarly to drugs and alcohol, there are some unique things to consider when trying to stop gambling.

Gambling addiction, also known as compulsive gambling or gambling disorder is characterized by an uncontrollable urge to gamble despite the negative consequences it may have on an individual’s life. Gambling addiction can lead to a host of problems, including financial issues, relationship troubles, and even mental health issues such as depression and anxiety.

The purpose of this article is to provide information on how to stop gambling addiction. I will discuss the causes of gambling addiction, identify the signs of gambling addiction, and provide information on treatment options and self-help strategies.

In short, overcoming gambling addiction requires addressing underlying emotional pain, limiting access to gambling triggers, replacing it with healthier activities, managing cravings, gaining peer support, controlling finances, and using behavioral therapies to develop effective coping skills.

Let’s delve into each of these areas and explore specific ways you can identify and overcome gambling addiction.

Understand the Addiction

Gambling addiction develops when an individual becomes dependent on gambling as a form of thrill or escape from stress. The individual may begin to crave the feeling and seek out more opportunities to gamble. This can happen gradually, with the individual initially gambling for fun and eventually becoming dependent on it, causing more stress in the long-term.

Common triggers for gambling addiction include stress, boredom, and financial problems. Individuals may turn to gambling as a form of escapism or as a way to cope with these issues. However, it is important to note that not everyone who experiences these triggers will develop a gambling addiction.

Common signs of a gambling addiction include:

  • Spending more time and money on gambling than intended
  • Lying to family and friends about gambling habits
  • Neglecting responsibilities in order to gamble
  • Borrowing money to gamble or pay off gambling debts
  • Using gambling as a way to escape problems
  • Continuing to gamble despite negative consequences

If you want to learn more about the psychology of gambling addiction, you can see my article on the subject here.

Limit Access to Gambling

One of the first steps in overcoming gambling addiction is to limit your exposure to gambling activities and the triggers that fuel your addiction. By identifying and avoiding these triggers, you can significantly reduce the risk of relapse and maintain your commitment to recovery.

Identifying and avoiding common triggers

Each person’s gambling triggers may differ, but some common ones include stress, boredom, loneliness, and financial pressures. Make a list of your triggers and devise a plan to address them in healthier ways. For example, if stress is a trigger, practice relaxation techniques such as deep breathing exercises or yoga.

Blocking access to online gambling websites and apps

Online gambling platforms are easily accessible and can exacerbate your addiction. To minimize the temptation, use website blockers or apps to restrict access to gambling sites on your devices. Additionally, unsubscribe from gambling-related emails and promotional messages.

Restricting visits to gambling establishments

Avoid visiting casinos, betting shops, and other gambling venues. If you have a favorite establishment, consider contacting them to request self-exclusion. This will make it more difficult for you to gamble there, as the staff will be alerted to refuse your entry.

Setting boundaries with friends who gamble

If you have friends who gamble, it’s essential to set boundaries and communicate your desire to stop gambling. Ask them not to invite you to gambling-related activities and to be mindful of discussing their gambling experiences around you. If necessary, distance yourself from friends who don’t respect your boundaries.

Limit Access to Funds

Taking control of your finances is a crucial aspect of overcoming gambling addiction. By limiting your access to funds for gambling, you can reduce the risk of relapse and promote responsible money management.

Creating a budget and tracking expenses

Develop a budget that accounts for your income, expenses, and savings goals. Track your spending to ensure you’re sticking to your budget and to identify any areas where you may need to make adjustments.

Involving a trusted person in managing finances

Consider involving a trusted friend or family member in managing your finances. They can help you monitor your spending, ensure you’re adhering to your budget, and provide accountability for your financial decisions.

Using cash instead of credit cards and avoiding cash advances

Limit your access to credit by using cash for daily expenses and avoiding cash advances on credit cards. This can help you stay within your budget and reduce the temptation to gamble with borrowed money.

Implementing self-exclusion programs with gambling establishments

Many gambling establishments offer self-exclusion programs that allow you to voluntarily ban yourself from their premises or online platforms. By participating in these programs, you can limit your access to gambling opportunities and reduce the risk of relapse.

Replace Gambling with Other Activities

Replacing gambling with healthier activities can help fill the void left by your addiction and provide a sense of purpose and fulfillment.

Discovering new hobbies and interests

Explore new hobbies and interests that can bring joy and satisfaction to your life. Consider activities like cooking, gardening, painting, or learning a musical instrument. Trying new things can also help you discover hidden talents and passions.

Engaging in physical activities and sports

Physical activities are not only beneficial for your physical health but also for your mental well-being. Exercise releases endorphins, which can help combat stress and improve mood. Consider joining a gym, participating in group sports, or even taking daily walks in nature.

Participating in social events and community activities

Socializing can help alleviate feelings of loneliness and boredom, which can trigger gambling. Attend local events, join clubs or organizations, or volunteer in your community to meet new people and develop meaningful connections.

Pursuing creative outlets and personal development

Expressing yourself creatively can provide an emotional release and help you cope with the challenges of recovery. Engage in creative pursuits such as writing, painting, or photography. Additionally, focus on personal development by setting goals, learning new skills, or attending workshops and seminars.

Manage Cravings and Urges

Cravings and urges to gamble are common during the recovery process. Learning how to manage these feelings is crucial for maintaining your progress and avoiding relapse.

Recognizing the early signs of cravings

Awareness is key in managing cravings. Pay attention to your thoughts and emotions, and recognize the early signs of a craving, such as restlessness, irritability, or increased heart rate. By acknowledging these feelings, you can take proactive steps to address them.

Implementing mindfulness techniques and meditation

Mindfulness and meditation can help you become more aware of your thoughts and emotions and cultivate a sense of calm. Practice mindfulness by focusing on the present moment, without judgment, and learn to observe your cravings without acting on them. Meditation, even just a few minutes a day, can improve your ability to cope with cravings.

Utilizing the four D’s: delay, distract, decide, and de-stress

The four D’s can help you manage cravings effectively:

Delay: When a craving arises, wait before acting on it. Cravings often pass or weaken with time.
Distract: Engage in an activity that takes your mind off gambling, such as calling a friend, going for a walk, or engaging in a hobby.
Decide: Remind yourself of the reasons you want to stop gambling and the negative consequences of relapse.
De-stress: Practice relaxation techniques or engage in self-care activities to alleviate stress.

Notice Unhelpful Thoughts About Gambling

Gambling relies on unpredictable rewards. This leads players to develop false beliefs about their control over the outcome. Common misconceptions include: “I have a system for winning,” “It is due to pay out soon,” and “If I keep playing, I can win my money back,” and “I’ll stop when I win the jackpot.” The gambling industry relies on a “house edge” to make a profit, meaning the odds are stacked against you, in the long term. The more you play, the more you will spend.

Someone with a gambling addiction may want to stop gambling when they are ahead but this does not happen. Like any addiction, increased access to the drug only increases the odds of using more. Imagine someone trying to stop drinking alcohol and they are given a giant fridge of their favorite drink. For someone with a gambling addiction, money is the drug. More money only leads to more betting.

It is also hard to stop while ahead due to the powerful force of random reinforcement. Gambling rewards are distributed randomly, which can cause individuals to develop distorted thoughts about their level of control over the outcome. This is especially powerful if someone had an early big win. The feeling of control, sense of specialness, and the rush of winning can be addictive, causing the person to continue gambling in the hopes of winning again. This can be called, “chasing the win.”

Rather than stopping when you are ahead, persons with a gambling addiction lack control over the activity, leading to continued gambling, often at higher amounts. This can lead to a cycle of spending more money than they win, making it difficult to stop gambling even when they are in financial trouble.

This often turns into “chasing the loss.” This is a common behavior among people with a gambling addiction. It refers to the tendency to continue gambling in an attempt to recoup losses. This behavior can lead to an endless cycle of losing and trying to win back lost money, causing the individual to spend more and more money in the long-term.

Decide if Gambling is Worth it

Ultimately, the decision to quit gambling comes down to whether or not it is worth the cost. Many individuals who struggle with gambling say it’s not just about the money, it’s about the impact on one’s mental health and relationships.

Here are a few reasons why some people continue to gamble, and why these reasons may not necessarily be accurate:

“Gambling brings me happiness”

Even if a person recognizes that they are spending more money than they are earning, they may continue gambling because it temporarily makes their problems disappear. This is a common reason for gambling, particularly among those who participate in electronic games such as slot machines.

While gambling may seem to bring happiness in the early stages, this illusion is often shattered when the person’s life becomes unmanageable. Gambling offers a false sense of happiness, similar to the false sense of control and false hope for a better future. True happiness can only be attained by letting go of the illusion provided by gambling.

“I can make money through gambling”

Many people who engage in professional forms of gambling, such as tournament poker, believe they can make money through gambling because a significant amount of skill is involved. The question to ask is whether or not the gambling is actually profitable. Are you treating gambling like a business and keeping track of your wins and losses? If so, it’s important to ask yourself if it’s worth it.

Although making money in the long-term is unlikely, is any amount of money worth the stress, harm to relationships, and compromised integrity? It’s important to consider what truly matters in life and if gambling is getting you closer or further away from that.

“I’ll be bored if I stop gambling”

For some individuals, gambling has become a full-time job and they cannot imagine their lives without it. As a result, other hobbies and interests are neglected. One common reason for continuing to gamble is that there is nothing else to do.

While it may be difficult at first, it is possible to rekindle old hobbies and find new, fulfilling activities to engage in. With time and effort, a person can adjust to a life outside of gambling.

Ultimately, when gambling turns into an addiction, the costs outweigh the benefits. It becomes a highly stressful mental roller-coaster and you start to become someone you don’t even recognize. Losing a positive sense of one’s own identity, values, meaning, purpose, and close interpersonal relationships, gambling becomes the sole focus in life. Although it may have initially been a form of entertainment, it often ends up being the exact opposite.

Seek Treatment and Support

If you are struggling with a gambling addiction, it is important to seek out professional help from a therapist or counselor who specializes in this area. They can provide guidance and support in identifying underlying reasons for the gambling addiction, managing triggers, as well as developing a plan for long-term recovery.

Joining support groups

Support groups can also be a valuable resource for individuals struggling with gambling addiction. These groups provide a safe and supportive environment where individuals can share their experiences and support each other in their recovery. Some support groups are specific to gambling addiction, while others are for individuals with any type of addiction. Gamblers Anonymous (GA) is the most widely available form of peer support for gambling addiction. If you are interested in locating a meeting, you can find one near you on the Gamblers Anonymous website here.

Sharing your struggle with trusted friends and family

Opening up to trusted friends and family members can provide emotional support and help keep you accountable in your recovery. Be honest about your struggles, and ask for their understanding and encouragement.

Finding a sponsor or accountability partner

A sponsor or accountability partner is someone who has successfully overcome gambling addiction and can offer guidance, support, and practical advice. They can help you navigate the challenges of recovery and provide an empathetic ear when you need it most.

Attending therapy and counseling sessions

Professional therapy and counseling can help you address the psychological factors contributing to your addiction and provide personalized strategies for managing cravings and triggers.

Treatment for gambling addiction typically involves a combination of behavioral therapy, medication (optional), and support groups.

Behavioral therapy is a type of talk therapy that focuses on changing the individual’s behavior and thoughts related to gambling. This can include cognitive-behavioral therapy (CBT), which helps the individual identify and change negative thoughts and behaviors related to gambling.

To find a specialist near you, use the Psychology Today therapist directory here to find a practitioner who specializes in your area of concern. As a counsellor specializing in gambling addiction, I also virtually support clients in the US and Canada. If you’re interested in learning more, you can send me a message here.

Medication is sometimes used to treat gambling addiction. Antidepressants, mood stabilizers, or other medications can help manage underlying mental health issues. However, it’s important to note that medication should only be used in conjunction with therapy and should not be used as a standalone treatment for gambling addiction. This is an area I typically do not focus on with clients and requires a proper assessment from a medical doctor.

It is important to understand that gambling addiction is a chronic condition, and relapses can occur. A comprehensive treatment plan that may include therapy, medication (optional), and support groups can help increase the chances of recovery.

Heal Underlying Issues

As an addiction counselor specializing in gambling addiction, my approach to working with clients focuses on identifying and addressing the underlying emotional pain that drives their addiction. Inspired by Dr. Gabor Maté’s perspective on addiction, I believe that understanding and healing the source of this pain is fundamental to the recovery process. By integrating this perspective with Acceptance and Commitment Therapy (ACT), I aim to guide clients towards a more fulfilling life.

Building a trusting therapeutic relationship
The first step in this process is establishing a safe, non-judgmental, and empathetic therapeutic relationship with the client. This foundation allows clients to feel comfortable sharing their experiences, emotions, and vulnerabilities, which is crucial for uncovering the roots of their addiction.

Exploring the emotional pain
Following Gabor Maté’s perspective, I guide clients in exploring their emotional pain by asking open-ended questions that encourage reflection on past experiences, relationships, and traumas. This exploration may involve discussing family dynamics, childhood experiences, attachment patterns, and any other factors that may have contributed to their emotional distress.

Identifying the function of gambling addiction
Once we have a better understanding of the client’s emotional pain, we work together to identify how gambling addiction has served as a short-term coping mechanism to deal with that pain. This process may involve examining the feelings, thoughts, and situations that trigger the urge to gamble and exploring how gambling provides temporary relief from emotional pain.

Integrating Acceptance and Commitment Therapy (ACT)
With a clearer understanding of the client’s emotional pain and the role of gambling addiction in their lives, I integrate ACT principles into our sessions. ACT emphasizes six core processes: acceptance, cognitive defusion, being present, self as context, values, and committed action.

Acceptance: I guide clients to accept their emotional pain without judgment and recognize that it is a natural human experience. By embracing their emotions, clients can learn to respond to them in healthier ways that don’t necessary need to result in escapism through gambling.

Cognitive defusion: Clients are encouraged to distance themselves from unhelpful thoughts and beliefs associated with their gambling addiction. This process helps clients view their thoughts as temporary experiences rather than absolute truths.

Being present: Clients are taught to focus on the present moment and develop mindfulness skills to better cope with emotional pain and cravings.

Self as context: I help clients understand that their addiction does not define who they are, allowing them to develop a more compassionate and accepting relationship with themselves.

Values: Together, we explore the client’s core values and identify how their gambling addiction conflicts with these values. This exploration serves as a foundation for setting meaningful goals and guiding the recovery process.

Committed action: Clients are supported in taking steps towards their values-aligned goals, replacing gambling with healthier coping strategies and activities that provide a sense of purpose and fulfillment.

By integrating Dr. Gabor Maté’s perspective on emotional pain with the principles of Acceptance and Commitment Therapy, my approach aims to guide clients towards a deeper understanding of their addiction, ultimately empowering them to heal their emotional pain and lead a more authentic, values-driven life free from gambling.

Conclusion

Gambling addiction is a serious condition that can have a negative impact on an individual’s life. By understanding the causes of gambling addiction and identifying the signs, individuals can take the first steps towards recovery. Treatment options such as therapy, medication (optional), and support groups can provide the support and resources needed to overcome the addiction. In addition, self-help strategies such as setting limits, finding alternative activities, and building a support system can also be effective in the recovery process.

Recovery from gambling addiction is a journey that requires patience, determination, and support. It’s important to remember that recovery is possible and with the right help, individuals can regain control of their lives.

If you or someone you know is struggling with gambling addiction, it is important to seek help. There are resources available such as the National Council on Problem Gambling (NCPG) which provides confidential help and support for individuals and their families. With the right help, individuals can overcome gambling addiction and take the first steps towards a healthier and happier life.

If I can support you in your journey toward recovery from gambling addiction, feel free to send me a message here.

How To Change Your Life

How To Change Your Life

On the go? Listen to the audio version of this article here:

Do you want to change your life for the better but don’t know where to start? Each year, many people intend to make important changes in their lives but don’t start because of fear.

Instead, they continue going down the same uninspiring path, feeling stuck and unsatisfied, lacking a sense of purpose.

For those who start making changes in their lives, these changes are difficult to maintain as the burst of short-term motivation fades away.

As a counselor, I’ve helped many clients start making changes in their lives through evidence-based methods. This article is a practical summary of the best approaches I’ve discovered, designed to help you start living the life you want. In short, change requires the following steps:

  1. Honor your desire for sameness
  2. Develop a vision
  3. Identify your “why”
  4. Start taking small steps
  5. Identify unhelpful thoughts
  6. Accept difficult emotions 
  7. Build helpful habits

By following these steps, you’ll be able to start changing your life and build long-term motivational momentum.

Talking to hundreds of clients over the past year, in addition to delving deep into the academic literature on motivation, I’ve developed this process of change. Although there is no one-size-fits-all approach, and there are no guarantees, this process can significantly increase the odds of success.

Honor Your Desire for Sameness

Have you ever tried to change, then felt guilt or shame when not following through?

Popular self-help messages on social media often push for change, as if it’s the only option, and failure to take action means you’re weak, lazy, or not good enough. Although well-intentioned, these messages are often toxic and counterproductive, reinforcing shame and unhelpful self-critical thoughts.

As an addiction counselor, I help people change but realize the need to meet people where they’re at, honoring their reasons for not changing.

Staying the same does not mean you’re a broken or deficient person. Instead, sameness is a form of self-protection. This self-protection can even be viewed as a form of self-compassion.

Many people fear hoping for something different because they don’t want to feel the potential disappointment of not achieving it. Hoping for something more also raises the expectations others have of you, resulting in fear of judgment if you don’t follow through.

Change can be pretty scary if you’ve lived through past disappointments or judgmental comments from others.

Rather than beating yourself up for not changing, a self-compassionate attitude toward your sameness helps you recognize your actual reasons for not changing.

Honoring someone’s desire for sameness allows for an open, non-judgmental exploration of these reasons. Without acknowledging these reasons for sameness, they operate in the background unconsciously, creating a conversational tug-of-war. As Peter Senge says:

“People don’t resist change, they resist being changed.”

People are often doing their best with the resources they have. They don’t need more shame; they need compassion. Experiencing compassion helps people develop compassion for themselves.

When you can have compassion for yourself, you can start to explore your reasons for sameness non-judgmentally within the context of your reasons for change.

The great humanist psychologist Carl Rogers illustrated this when he said:

“The curious paradox is that when I accept myself just as I am, then I can change.”

Hoping can be scary. When we hope for something more, we are confronted by something we lack. Faced with the uncertainty of achieving this desired change, it raises one’s expectations for oneself and the fear of potential disappointment if we cannot make this change.

Staying the same is an understandable form of self-protection. We don’t resist change because we are lazy; we resist change because of fear.

Rather than making fear into an enemy, we can honor our fear. When our mind says, “are you sure you’re ready for this?” it’s doing something it was evolutionarily programmed to do.

Resisting fear means resisting change. Noticing our mind is trying to protect us, we can open up to fear and assess the information it is giving us. Like the check engine light in a car, our emotions are a source of information. And like the check-engine light, it can sometimes only indicate a minor risk.

When we turn toward difficult emotions, we can uncover any useful information they are providing us, assess the relevant, realistic risks, then choose to move forward when we’re ready.

Hoping for change can provoke fear. Without acknowledging this underlying process, it operates in the background, lowering our expectations of ourselves and what we aspire toward.

Changing your life is a lot like writing. If you’ve ever sat in front of a blank page, tasked with writing something important, you’ve probably felt this sense of angst.

As I write this, my mind is coming up with a handful of other things I should probably do instead. Each sentence takes concerted effort because I know it’s important, and because it’s important, it’s scary, and I constantly want to stop and do something else.

Writing creates a sense of vulnerability, exposing my ideas to an audience whose uncertain reception provokes fear of judgment. Imposter syndrome sets in, and my mind tells me to play it safe. Who am I to be sharing my ideas?

The desire for self-protective sameness has to be overcome with each sentence, uncertain what I’ll say next but trusting it’ll come.

Like writing, authoring your life draws on the same fears and insecurities. Actively deciding to change requires this active stance toward your life.

The freedom to write and express yourself comes with the responsibility of showing up. In life, the freedom to change comes with the responsibility to author that change.

Freedom is something we all want, but we spend most of our time trying to escape from it. Freedom induces fear. Constraint is comfortable.

As a college instructor, I knew students hated writing essays without detailed instructions about the topic, page length, and formatting.

With complete freedom to write what you want, it’s difficult to start, and when you do, you’re constantly wondering if you’re doing it right.

When deciding to make a change in life, we’re called to take authorship of a situation without a detailed instruction manual. We’re called to step into the unknown and risk letting ourselves down.

We can put down the pen and stop writing when we need a break. Although this is an understandable form of self-protection, it doesn’t come without risks.

When we stop writing, we risk missing out on joy, passion, meaning, and purpose. We miss out on offering the world something uniquely ours.

If you’re not ready to step out on a limb, that’s okay too. Authoring your life is not a moral question. You’re not wrong, bad, or flawed if you choose sameness. As the song by the late Nightbirde goes, “if you’re lost, we’re all a little lost, and that’s alright.”

We can move forward with compassion from ourselves and others.

As I was writing this section, I didn’t know where it would go, but as I wrote, it became easier. Like life changes, the initial dread of the blank page fades as motivational momentum grows with each step forward.

If you resonate with this and want to learn more about why hope induces fear, I highly recommend checking out the book, How We Change (And Ten Reasons Why We Don’t) by Ross Ellenhorn. There are many powerful insights in this book and you can even listen to the audiobook version for free if you haven’t yet signed up for Audible’s trial.

Develop a Vision

Before making a significant change in your life, you need a vision of what you want. The problem is that many people haven’t stepped back from their day-to-day busyness to clarify their vision.

When asking people what they want, their first answer is usually “to be happy” or “to have peace.” When asking what they want to do, it’s usually something like, “to make a lot of money,” “to help others,” or “be the best version of myself.” Although these are part of the vision, they are often too vague to provide a sense of direction.

Clarifying your vision requires developing a specific understanding of what your life would look like, where you would be, who you would be with, and what you would be doing. How would you be earning your income? How would you be helping others? What does the best version of you do on a daily basis?

Taking this into consideration, here is a useful technique called the “dare question” in solution-focused therapy:

If you knew you couldn’t fail, what would you do?

If a general answer comes to mind, consider the following questions:

What small thing would you start doing today or tomorrow?

Once you’ve started to see some progress, what would it allow you to do?

What would look different in your life if you could do this?

Here’s another way to clarify a general vision. If your general vision is to “be happy” and “help others,” here is an example of how you could make it more specific:

When were moments you’ve been happy while helping others in the past? What were you doing? How were you specifically helping another person? Who would you like to help in the future? How would you be helping these individuals? If you knew you couldn’t fail, what risk would you take that would eventually allow you to do this?

These questions would usually occur over an hour-long solution-focused counseling session, with an emphasis on practical next steps for today or tomorrow.

Although it’s best to consider these things in dialogue with another person or a counselor trained in this approach, you can also consider answering these questions in your own journaling.

The purpose of this exercise is to develop a clear vision of what you want, providing motivation and a sense of direction when making changes in your life.

If you’re still having difficulty developing a vision, continuing to dwell on it does not necessarily get you closer to figuring it out. Instead, I would emphasize taking action in ways that are practical for your current lifestyle.

We often hear the phrase “find your passion,” but what does it really mean? How do you find it? What if you’re too busy with practical day-to-day responsibilities to simply drop everything and go on a whimsical treasure hunt?

Throughout the years, I’ve realized you can’t necessarily find your passion by thinking about it. You find it by trying things and developing skills over time.

For example, my passion for psychology didn’t begin before I started to learn about it. It grew as I developed more understanding and skill in the area. The key is doing.

As Cal Newport states:

“Passion comes after you put in the hard work to become excellent at something valuable, not before. In other words, what you do for a living is much less important than how you do it.”

This approach to passion emphasizes putting in the work rather than making it about vision boards and fantasy.

The Latin origin of passion is “pati,” meaning “suffer,” and the word gained popularity in Christian theology, referring to the sacrificial suffering of martyrs.

In the sixteenth century, passion began to refer to sexual love and a sense of strong liking or enthusiasm, seemingly the opposite of its original use. Although passion can still refer to pain and suffering – as seen in The Passion of the Christ – today, the word mainly conjures strong connotations of pleasure and desire.

Both aspects of passion need to be understood before applying it to practical issues, but we often emphasize the pleasurable aspect without recognizing the other side.

Instead of trying to “find your passion,” try letting your passion find you. This could mean experimenting with a hobby, volunteer role, or side-hustle. The key is not to overthink it, pick something you can practically integrate into your routine, and stick with it long enough to develop some skill. If it’s still not for you, perhaps try something different.

In summary, you can develop a vision through some contemplation, but experimenting with different hobbies and interests allows you to explore practical ways to start fostering further motivation if you haven’t yet begun taking action toward change.

This experimental approach also allows you to start taking action toward change without having to figure it all out first. As you start taking action, unforeseen opportunities may even arise, allowing you to further explore areas you may not have considered at first.

Back to the previous question: what small thing could you start doing today or tomorrow?

Identify your “Why”

Identifying your reason for change is a critical aspect of motivation. Without having a clear reason why you want to make a change, you’ll likely fall back into old patterns when faced with an obstacle.

In his classic book, Man’s Search for Meaning, Victor Frankl recites one of my favorite quotes by Friedrich Nietzsche:

“Those who have a ‘why’ to live, can bear with almost any ‘how’.”

This means having a compelling sense of why we are doing something motivates us to figure out how to overcome the obstacles.

By clarifying your why, you can operate with strong intrinsic motivation rather than extrinsic motivation, which is relatively weak. In simple terms, intrinsic motivation means you’re doing something because you genuinely want to, while extrinsic motivation requires being compelled by an external reward or punishment.

Intrinsic motivation is powerful and long-lasting, whereas extrinsic motivation is short-lived. For more on the distinction between these two types of motivation, see my article on how motivation works.

One way to know if you’re operating from intrinsic or extrinsic motivation is to notice how many “should” statements you use when talking about your vision. If you say things like “I should go to the gym more often,” you’re likely operating from an external sense of obligation rather than having a strong internal reason why you would want to do so.

If you notice you may be operating from a “shoulds,” try asking yourself what you actually want. For example, if you say you should go to the gym more often, do you actually want to? If not, what made you want to incorporate more physical activity into your life?

This last question delves into the “why,” bypassing the “how” for now. After evoking a person’s “why,” I’d pivot back into the “how,” coming up with various alternative ways to incorporate physical activity in a way that is rewarding for them.

Now consider your own vision regarding changes you want to make in your life. Why do you want to make this change? What about this change is important to you? How would this change allow you to be the type of person you value?

When you clarify your “why” and your underlying values, you gain a sense of purpose and direction, despite the obstacles.

One way to clarify your “why” from an existential perspective is to imagine yourself at the end of your life. Imagine you have done the things you want to do and have been the type of person you want to be. What things would you be proud of? What would you have done? What type of person would you have been?

This exercise comes from the insight of the existential philosopher Søren Kierkegaard when he states:

“Life can only be understood backwards, but it must be lived forwards.”

Imagine you are at a funeral.

A close friend of the deceased steps up to the pulpit and proceeds with the following eulogy: “He was a highly organized and independent, a skilled communicator who could work well with others, detail-oriented, and was able to work efficiently in a fast-paced environment, increasing profits by 10% each quarter…”

You would be startled by this friend who completely neglected what actually matters.

Rather than a eulogy, it would look as if the friend were speaking on behalf of the deceased for a postmortem job interview.

But if these things don’t actually matter in the end, why do we spend the majority of our time focused on building these resume virtues while neglecting the eulogy virtues?

Values can be found in three major areas of life: moments of sweetness, moments of pain, and role models. These values exercises are adapted from The Big Book of ACT Metaphors:

When clarifying one’s values by looking at moments of sweetness, think back to a moment where you felt alive and engaged. Notice the details of this moment. What were you doing? Who was with you? What did you feel?

Slow down and see if you can emotionally connect to what you value about this moment. This same exercise can be applied to painful moments, pulling out values by noticing what was missing in those moments.

Values can also be found by looking at one’s role models. Pick a person you admire. What qualities of theirs do you admire?

Slow it down, emotionally connecting with the aspects of this person you admire. Now consider what values come from these qualities. Some examples might be compassion, creativity, genuineness, and selflessness.

Now, how might you be able to live by these values yourself?

Living in alignment with our values provides motivation in addition to psychological flexibility when obstacles arise. Values are different from goals because they don’t have an end-point.

Values serve as a compass, giving you direction, even when the end-goals cannot be met. This is an essential aspect of motivation because you do not have control over the end goal. You only have control over how you choose to approach the task at hand.

Victor Frankl highlights this fundamental ability to choose one’s valued way of being:

“The last of the human freedoms: to choose one’s attitude in any given set of circumstances, to choose one’s own way.”

Choosing one’s own way of being fulfills our human yearning for a sense of purpose and direction. When this direction relies on your values, it does not necessarily require an end-point. This is particularly useful if you haven’t been able to develop a clear vision, as emphasized in the previous section.

Start Taking Small Steps

When beginning to make a change in life, it can feel like you’re at the bottom of a mountain, stairing up at the monumental task ahead. Although the whole journey may take a significant amount of time and effort, each step is a relatively insignificant and simple part of the broader process.

By focusing on each step rather than the whole journey, it makes the processess feel much more manageable. Over time, motivation grows as you develop momentum toward your vision.

This process is what I call “motivational momentum.” Although I’ve touched on it briefly in the first section, this section goes deeper into the power of taking action through small steps.

The psychology behind this is simple: the more you do something, the more you want to do something. For example, for persons struggling with an addiction, the more they engage in the addiction, the more they crave it.

Many people can relate to this in terms of physical exercise. It is pretty challenging to start exercising if you haven’t done it in a while, but over time, you start to actually crave it. For some people, not exercising can eventually become harder than exercising if you’ve worked your way up to a long-term daily habit.

This is why taking action is such a powerful motivational component of change. Early on in the change process, massive action may not be feasible and motivational momentum is still low, so I like to start with small steps instead.

When I first meet with a client, they may not be ready to start taking action, but for those who are ready, I look at how they can make small changes right away.

Aside from motivational momentum, taking small steps allows you to more easily overcome the fear and subsequent procrastination associated with making big changes.

Now consider your own vision for change. What small thing can you do today or tomorrow?

If nothing comes to mind, set the bar even lower. The key is to try something new rather than overthinking it beforehand.

It is easy to procrastinate when living in your head, hoping for some ideal time to take action.

“I’m just not ready yet… what if I fail?… am I an impostor?

This is the realm of perfectionism. When your desire for competence becomes distorted, you constantly question whether or not you are ready to take action. Impostor syndrome can take over, and you feel like you are a fraud.

When stuck in a state of analysis paralysis, we stall our efforts to take meaningful action toward what matters. So how do you get out of your head and build behavioral momentum? The key is building habits into your daily routine. As Aristotle stated:

“We are what we repeatedly do. Excellence, then, is not an act, but a habit.”

The most effective way to build new behaviors is to slowly integrate new patterns of action into your daily routine.

Beyond contemplation of one’s strengths and abilities, self-confidence is built in practice by seeing evidence of own abilities.

Consider things you have already completed. What steps have you already taken toward your goals? If you haven’t taken any direct steps, are there any indirect things you may have done in preparation to take action?

If you have not yet taken any actions, consider one small thing you can do today or tomorrow that would likely get you slightly closer to your goal.

By completing a task, you get the reward of a small win. Getting this small win increases your motivation to complete the next task, leading to greater rewards as you build trust in yourself.

Some people find it helpful to create checklists of the small tasks they want to complete in a day. The smaller the task, the more you can add to your checklist. Each time you check off a completed task, you get a sense of accomplishment, leading to further motivation.

Another benefit to focusing on small tasks is that it keeps you from feeling overwhelmed when tackling everything all at once.

This is why the popular 12-step phrase, “one day at a time,” has been so powerful for many people in recovery. If one day at a time is too much, try focusing on one hour at a time or one moment at a time.

Avoiding procrastination through small steps means letting go of perfectionistic ideals and accepting imperfect circumstances.

Here is a relevant metaphor from The Big Book of ACT Metaphors:

Imagine you are waiting for a train to go somewhere special. There are two trains indicating they are going to your destination. The first train looks odd, dirty, and uncomfortable, while the second one looks clean, comfortable, and luxurious.

You excitedly choose the second luxurious train, anticipating the trip ahead as you wait to board. The first train then leaves, and another odd-looking one going to your destination pulls up.

You keep waiting for the luxurious train all afternoon, but it never leaves the station, while the other trains continue to come and go.

This metaphor highlights how perfectionistic concerns keep us from taking the next step.

Like the question I asked at the end of the section on developing your vision for change. What small thing can you do today or tomorrow?

Identify Unhelpful Thoughts

As you start taking steps on your journey toward change, your mind will put up many roadblocks.

“You don’t deserve it… you’re not good enough… you’re being selfish… you can’t do it anyway.”

Change requires identifying these roadblocks and effectively getting around them.

Identifying these mental roadblocks requires getting in touch with the unhelpful thoughts that pop up throughout your day.

I use the term “unhelpful thoughts” because it is often unhelpful to try to debate their validity. These thoughts are often quite sticky and do not necessarily go away by debating them.

For example, have you ever tried to change a friend’s mind about politics by debating them? If so, how does that usually go?

To avoid the mental tug-of-war with your unhelpful self-critical thoughts, there is another way around the roadblock. Here’s an exercise:

Consider the vision of what you want. What are you doing? Who are you with? Where are you?

After getting a sense of what this looks like, imagine you are getting the opportunity to live this vision tomorrow. What do you feel when faced with this opportunity?

Do you feel excitement, fear, or a combination of both? Knowing you will be able to live your ideal vision tomorrow, would you have difficulty sleeping tonight? If so, what would be on your mind?

If there is any fear, what self-critical thoughts pop into your head?

Are any of the following previously listed thoughts coming up?

“You don’t deserve it… you’re not good enough… you’re being selfish… you can’t do it.”

Next, take out a piece of paper and a pen.

Pick a common critical phrase your mind tells you, like one of the above, and write it in the middle of the page.

Now hold that page in both your hands and try to push it as far away from your body as possible. Notice how this takes away your ability to use your hands for other things. In addition, the longer you try to push it away, the more painful it becomes, as your arms get tired.

This is equivalent to the way your mind becomes preoccupied with unhelpful thoughts, interfering with your ability to do the things you enjoy. As your mind continues to be preoccupied with these thoughts, you become mentally exhausted.

Now take this piece of paper and put it on your lap. Although you now have increased contact with it, you can use your hands and save your energy for other things.

You can have this thought, but it doesn’t necessarily have to affect your ability to move forward.

Now put the paper back on the table, and above the self-critical phrase, write the following: “I’m having the thought that…”

How does this change your relationship to the thought?

Next, above that, write “I’m noticing…”

Now, read the series of statements together.

For example: “I’m noticing I’m having the thought that I’m not good enough.”

How do you feel reading this version of the statement compared to the original one?

Many people report feeling lighter. The reason is that this phrasing allows you to step back from your self-critical thought and see it as just a thought rather than a fact about reality.

Rather than holding this piece of paper tightly in your outstretched arms, you can fold it up and put it in your pocket. Although it is closer to you and not necessarily going away, it is relatively harmless.

Increasing contact with unhelpful thoughts while disconnecting from them as facts about reality gives us the freedom to focus on what matters.

Accept Difficult Emotions

Ever notice how avoiding pain also requires avoiding joy?

When making a change in your life, uncomfortable emotions are pretty common. The problem with avoiding unpleasant emotions is that it limits us from also experiencing pleasant ones.

For example, a person may avoid feelings of love and intimacy out of a deeper avoidance of the potential pain if the relationship does not work out. Another example could include avoiding putting out a piece of your work out of fear of judgment. Avoiding this potential pain, it’s easier to continue along a safe path, even if it is unfulfilling.

When we tell ourselves we need to avoid painful feelings, we also begin to avoid positive experiences that could potentially lead to a painful outcome.

Here’s a great metaphor from the ACBS website:

“Imagine what you’re doing with these (thoughts/distressing memories/feelings) is like fighting with a ball in a pool. You don’t like them, you don’t want them, and you want them out of your life. So you try and push this ball underwater and out of your consciousness. However, the ball keeps floating back to the surface, so you have to keep pushing it down or holding it underwater. This struggling with the ball keeps it close to you and is tiring and futile. If you were to let go of the ball, it would pop up, float on the surface near you, and you probably wouldn’t like it. But if you let it float there for a while, with your hands off, it would eventually drift away and out of your life. And even if it didn’t, at least you’d be better able to enjoy your swim rather than spending your time fighting!”

What difficult emotions might be holding you back from taking action?

What addictive behaviors or substances could you be using as a form of avoidance?

In your own experience, is this getting you closer or further from the things you want?

Is the short-term comfort even worth it?

Beyond just working with your unhelpful thoughts, it is also important to slowly and intentionally expose yourself to situations that may trigger difficult emotions.

I’ve often heard people say they try to avoid their triggers. Although this can be helpful when avoiding triggers that cause craving, it is unhelpful when avoiding triggers associated with a fear response. For example, if you want to stop using alcohol to cope with anxiety, it is helpful to avoid having easy access to alcohol, but it is unhelpful to live in a bubble, avoiding any situation that can trigger anxiety.

Avoiding things that cause anxiety further reinforces the danger of the thing causing anxiety. The avoidant behavior trains your brain to believe this is something that must be avoided.

A major part of treating anxiety is a practice in behaviorism called “exposure therapy.” This means slowly exposing an individual to a fear-inducing stimulus over time while equipping them with the mental tools to overcome the fight/flight reaction.

What small thing can you do to bring up a manageable amount of discomfort?

As you imagine yourself doing this thing, notice any emotions arising. What are you feeling in your body right now? Take some time to hold space for these feelings. As you breathe in, imagine you are opening up space for these feelings in your body, inviting them in.

Many people fear that coming into contact with it makes it more real. In reality, avoiding it doesn’t make it any less real. If you find yourself standing on quicksand, resisting and struggling doesn’t make it any less dangerous. If anything, you’re more likely to sink. Instead, laying down on the quicksand (increasing contact) is the safer route, allowing you to increase your weight distribution across the surface of the sand.

Accepting difficult emotions does not mean giving up. Instead, it means increasing contact with the perceived threat so that it has less power over you.

Our emotions are a source of information. By numbing ourselves to difficult emotions, we cut ourselves off from a significant source of information, like ignoring the check engine light in your car. The light indicates something needs to be attended to, and without attending to it, the problem can become worse.

Avoiding our emotions compounds the problem, like avoiding a simple oil change can result in significant engine damages, costing you more in the long run.

Although avoidance feels rewarding in the short term, is it really worth it?

A tiger metaphor by Steven Hayes, the founder of Acceptance and Commitment Therapy (ACT), seems fitting here:

Imagine you adopted a cute young tiger cub. It wanders through your home like a kitten, and you notice it won’t stop purring loudly. The only way you can make it stop is to feed it red meat. Over the months and years, you keep doing this so that it will leave you alone. Eventually, the tiger is several hundred pounds, requiring whole sides of beef to feed its insatiable hunger. Rather than a cute purr, the tiger roars ferociously for its meat. You are terrified, so you keep giving him the meat so he will leave you alone. The more you feed it, the larger it gets, and the more trapped you become.

Next time you use your avoidance method of choice, bring some mindful awareness to the experience. Is this worth it? Is this experience worth all of the work? Is it worth all of the damage? Without needing to engage in self-judgment, simply bring mindful attention to whether it’s worth it.

Build Helpful Habits

Habits make progress easier because you can operate on auto-pilot rather than having to make decisions all the time.

Each decision throughout the day depletes some willpower. The more decisions you need to make, the less willpower you have left to make smart decisions. This is Roy Baumeister’s psychological concept of “decision fatigue.”

The psychology of decision fatigue can be seen in grocery store checkout isles. Having to make several decisions while you shop, you have less willpower leftover when checking out and are more likely to buy the candy bar impulsively.

Therefore, to optimize willpower, consider ways to reduce the number of decisions you make in a day.

Although we cannot function without making decisions, many of these decisions are unnecessary. Having to decide whether or not you’ll go to the gym each day takes up unnecessary willpower. So how do you reduce your decision-making load?

Creating habits allows you to make fewer daily decisions, allowing you to use willpower more efficiently. Rather than constantly choosing each meal, moment to exercise, and time to sleep, having a routine allows you to flow between tasks in your day on relative autopilot.

Living on autopilot can be detrimental if you’ve built unhealthy habits, but it can be helpful when intentionally structuring your day based on healthy things you want to incorporate.

The key here is to start small and slowly add things into your daily routine. Large disruptive changes to your situation make it less likely to stick over time. Long-term change starts slow, building motivational momentum over time, based on small intentional changes.

If you want to create your own customized set of next steps, consider trying the SMART principle.

This goal-setting method allows you to focus on daily, weekly, monthly, and annual goals. Each goal is not an end-point but a step on the path toward your long-term goals.

Here are the aspects to consider when creating a SMART goal:

Specific: Is this a specific goal, or is it too broad?

Measurable: How would you measure progress toward this goal?

Achievable: Is this a realistic goal?

Relevant: Is this meaningfully connected to your values?

Time-bound: What is your timeline/ deadline for this goal?

Conclusion

This article provides a blueprint for making a significant change in your life. Although there is considerable psychological evidence underpinning each of these change processes, I’ve emphasized the need to take action rather than just learning about the techniques.

The first step requires accepting your fear of hoping for something more. Change is scary. It requires raising your expectations for yourself, potentially letting yourself down, and deciding to author your own life rather than continue as usual.

Although we can have compassion for this desire for sameness, we can realize its dangers. When we decide not to take action, we risk missing out on something that can add richness to our lives.

When getting caught up in the auto-pilot of sameness, we often neglect to ask ourselves what we really want in life. Developing a vision of what we want allows us to aspire to something more. If you can’t develop a clear enough vision, continuing to dwell on it often does not help. This is why experimenting with change by taking small steps is necessary.

Although the mountain of change can seem intimidating, focusing on small steps allows you to start taking action immediately rather than figuring it all out beforehand, making the process far less overwhelming.

Rather than simply being guided by “shoulds” and “musts,” it’s important to foster an inner compass guided by your values. By focusing on your reasons for change, your motivation is founded on internal factors rather than being dependent on external factors.

Many unhelpful thoughts will arise throughout the change process, telling you you’re not good enough, asking if you’re sure you’re ready. Noticing these thoughts and unhooking from them allows you to refocus on what matters.

As difficult emotions arise, it is tempting to resist them. Instead, we can make space for them, accepting they will be there until we gain familiarity with the new territory.

Building habits allows this change to be sustainable in the long term. Slowly integrating these new habits into your current routine is an easy way to build motivational momentum through small steps.

Although this article is quite long, I plan on breaking it down into small actionable steps in an upcoming program. If you’re interested in helping beta-test any developments in this program, feel free to sign up here for updates.

Procrastination Is Not Laziness

Procrastination Is Not Laziness

On the go? Listen to an audio version of the article here:

Many people blame themselves for being lazy or not having enough willpower to complete the important things they want to do.

Popular self-help messages further reinforce this perspective on procrastination, merely telling people to try harder, hustle, or get more willpower. Although these things might be necessary, this advice does not resolve the core issue.

Procrastination is the result of fear, not laziness. Persons procrastinate due to perfectionistic concerns, basing their self-worth on external validation of their performance. Tackling important tasks induces fear of inadequate performance and further potential damage to one’s self-worth and sense of competence. 

Let’s take a closer look at each of these factors and how they contribute to procrastination.

What causes procrastination?

According to Temporal Motivation Theory, the root cause of procrastination includes:

  • Low expectations of your competence 
  • A low value placed on the task
  • Difficulties with impulse control
  • Lack of an immediate deadline 

In other words, procrastination results from perfectionistic concerns about one’s performance, low interest in a task, having several distractions, and no immediate deadline.

Saying someone is “lazy” is actually a lazy explanation of human behavior because it does not consider the various underlying factors driving it.

The word “lazy” implies the person just needs to use more willpower, but as I shared in my previous article, willpower is overrated.

Although willpower is a vital ingredient in behavior change, it is far from the only ingredient. Like baking a cake, you can’t simply throw flour in the oven and neglect all of the other parts of the recipe.

Like being a lazy baker, providing lazy explanations of human behavior only leads to disappointment. Therefore, let’s consider all of the elements involved in procrastination and how to overcome it.

How to overcome procrastination

To overcome procrastination, consider the following:

  • Focus on progress, not perfection 
  • Clarify your “why”
  • Reduce the need for willpower 
  • Set small goals 

By focusing on each of these areas, you increase the odds of completing a task rather than procrastinating.

Focusing on progress, not perfection, allows you to overcome the perfectionistic tendency to worry about not doing the task well. It’s easier not to start a task than to risk criticism for not doing it well enough. This is particularly relevant for persons who are highly driven and base their self-worth on their performance.

Clarifying your “why” allows you to gain a broader sense of purpose regarding the task. For example, my motivation to continue writing this article is based on the value-orientated drive to serve others through my work.

Reducing the need for willpower means removing any distractions from your environment and creating habits that make it easier to complete the task. I have a complete description of how to do this in my article here.

Setting small goals refers to creating several regular short-term goals rather than just relying on a long-term goal. For example, if you want to finish writing a paper in a week, you can break it into smaller goals and aim to write one section per day.

Is procrastination an addiction?

As an addiction counselor, human motivation has been a core focus in my work. Understanding someone’s motivation to use addictive substances allows me to work with these underlying motives and increase motivation to change.

Although procrastination is not technically considered an addiction, it shares many traits with addictions, including the following:

  • Short-term relief at a long-term cost
  • Loss of control
  • Craving distractions 
  • Compulsive behaviors

Procrastination can be like an addiction to not engaging in a specific task.

Short-term relief comes when a person procrastinating avoids fear by not engaging in a task that provokes perfectionistic fear. This comes at a long-term cost of not completing the task and may also result in harm to many areas of someone’s life.

Loss of control is experienced when procrastinating since a person begins to feel even less competent to engage in the task the longer they put it off.

Craving distractions may come in the form of immediately wanting to do something else when faced with the object of procrastination. For example, when sitting down to write, I seem to immediately feel hungry or want to check my emails.

Compulsive behaviors are things we feel compelled to do, despite their lack of relevance to our goal. For example, many people compulsively clean their environment rather than engage in an important task.

Procrastination has many overlaps with addiction. Even though procrastination is the absence of action, it involves several alternative actions that serve as distractions, providing short-term relief at a long-term cost to one’s work, relationships, or personal health.

Conclusion

Procrastination is not about laziness. Instead, it is about not having the right motivational ingredients. Throughout this article, I’ve summarized some key lessons from Temporal Motivation Theory, a leading theory of procrastination. I’ve also provided practical steps you can take to stop procrastinating.

If you want to learn more about motivation, I highly recommend my more in-depth article on the topic here: How to Find Motivation.

If you are trying to help someone else who is struggling with motivation, you can check out my article here: How to Motivate Someone.

If you’re curious why I’m not a big fan of willpower, you can check out my article here: Why Willpower is Overrated.

I hope this has been a helpful overview of procrastination. As always, feel free to leave a comment down below. You can also reach out to me directly here.