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Breaking the Stigma – Why Addiction Is a Disease, Not Just a Choice

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The other day, My cohosts for My podcast, "Life Happens" and I hosted an episode of addiction. Addiction is often misunderstood. Many people still believe it’s simply a matter of willpower, that if someone “really wanted to,” they could stop. But science and lived experience tell a very different story: addiction is not just a choice—it’s a disease.

Understanding the Brain’s Role

Substances and behaviors that provide a “reward” (like drugs, alcohol, gambling, or even shopping) flood the brain with dopamine, the feel-good chemical. Over time, the brain becomes dependent on that surge, needing more and more just to feel “normal.”

At its core, addiction rewires the brain’s reward system. What starts as a voluntary choice—trying a substance, placing a bet, scrolling for “just a few minutes”—can quickly become a cycle the brain learns to crave. Over time, willpower alone isn’t enough. The brain begins to associate the addictive behavior with survival, pushing people toward it even when they consciously want to stop.

This is why people struggling with addiction often describe feeling powerless. Their brains are no longer functioning the way they once did. What looks like “choosing” to use is often the body crying out for balance.

The Shame That Keeps People Stuck

One of the most damaging myths about addiction is that people can just “snap out of it.” This belief creates shame, and shame is one of the biggest barriers to recovery. Instead of reaching out for help, people may isolate, hide their struggles, or convince themselves they’re unworthy of healing.

Breaking the stigma starts with how we talk about addiction. Instead of labeling someone an “addict,” we can use person-first language: “a person living with addiction.” Instead of asking, “Why don’t they just stop?” we can ask, “What pain are they carrying?”

Compassion as a Bridge

When we see addiction as a disease, we’re more likely to respond with compassion rather than judgment. Compassion doesn’t mean enabling unhealthy behavior, but it does mean holding space for healing and recognizing that recovery is a process, not a single decision.

Steps Toward Change

While addiction is a disease, recovery is absolutely possible. With therapy, medical support, peer groups, and strong social networks, people can rebuild their lives. It starts with awareness, acceptance, and breaking free from stigma.

If you or someone you love is struggling with addiction, remind yourself: this is not about weakness. It’s about healing. And healing is always possible.

Check out the replay of our Life Happens Podcast episode on addiction on Youtube at https://www.youtube.com/watch?v=1lLBU7rI1tE



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