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Myths & FactsAddiction Help

Facts About Substance Abuse

  • Approximately, 61 million Americans suffer from mental illnesses and 24 million are abusing drugs or alcohol with a significant number living with co-occurring mental illnesses and addictions. (Sources: US Department of Health and Human Services, National Institutes of Health, National Institute of Mental Health and the National Survey on Drug Use and Health by the Substance Abuse and Mental Health Services Administration)
  • The American Medical Association, the National Institute on Drug Abuse and the National Institute on Alcohol Abuse and Addiction concur: Addiction is a chemical change in the brain. (Source: The Journal of the American Medical Association)
  • More than 2 million Ohioans, nearly one in five, experience some mental illness or emotional disturbance each year. (Source: Ohio Department of Mental Health & Addiction Services) Addiction and mental health disorders account for more than one-fifth of all lost days of productive life, far more than cardiovascular disease which ranks second. (Source: Harvard School of Public Health)
  • For every dollar spent on prevention in Ohio, there is an economic savings of $7 by reducing lost productivity, crime, child abuse/neglect and homelessness. (Source: Ohio Department of Mental Health & Addiction Services Cost Effectiveness Study)
  • In any given year, there are an estimated 10 million persons in the U.S. with at least one co-occurring mental health and substance abuse disorder. (Source: Mental Health America)
  • 22.2 million individuals in the United States have faced a substance use disorder in the past year. (Sources: National Alcohol & Drug Addiction Recovery Month, Substance Abuse & Mental Health Services Administration, National Survey on Drug Use and Health)
  • Alcohol and other drug abuse cost Americans upwards of half a trillion dollars a year considering their combined medical, economic, criminal and social impact on communities. (Source: National Institute on Drug Abuse)
  • In 2012, an estimated 250,000 individuals needed, but did not receive treatment in Ohio for illicit drugs. In that same year, an estimated 624,000 individuals needed, but did not receive treatment in Ohio for alcohol abuse. (Sources: Substance Abuse & Mental Health Services Administration, National Survey on Drug Use and Health)

“Exploring Myths about Drug Abuse”

Myth: Drug addiction is voluntary behavior.
A person starts out as an occasional drug user, and that is a voluntary decision. But as times passes, something happens, and that person goes from being a voluntary drug user to being a compulsive drug user. Why? Because over time, continued use of addictive drugs changes your brain — at times in dramatic, toxic ways, at others in more subtle ways, but virtually always in ways that result in compulsive and even uncontrollable drug use.

Myth: More than anything else, drug addiction is a character flaw.
Drug addiction is a brain disease. Every type of drug of abuse has its own individual mechanism for changing how the brain functions. But regardless of which drug a person is addicted to, many of the effects it has on the brain are similar: they range from changes in the molecules and cells that make up the brain, to mood changes, to changes in memory processes and in such motor skills as walking and talking. And these changes have a huge influence on all aspects of a person’s behavior. The drug becomes the single most powerful motivator in a drug abuser’s existence. He or she will do almost anything for the drug. This comes about because drug use has changed the individual’s brain and its functioning in critical ways.

Myth: You have to want drug treatment for it to be effective.
Virtually no one wants drug treatment. Two of the primary reasons people seek drug treatment are because the court ordered them to do so, or because loved ones urged them to seek treatment. Many scientific studies have shown convincingly that those who enter drug treatment programs in which they face “high pressure” to confront and attempt to surmount their addiction do comparatively better in treatment, regardless of the reason they sought treatment in the first place.

Myth: Treatment for drug addiction should be a one-shot deal.
Like many other illnesses, drug addiction typically is a chronic disorder. To be sure, some people can quit drug use “cold turkey,” or they can quit after receiving treatment just one time at a rehabilitation facility. But most of those who abuse drugs require longer-term treatment and, in many instances, repeated treatments.

Myth: We should strive to find a “magic bullet” to treat all forms of drug abuse.
There is no “one size fits all” form of drug treatment, much less a magic bullet that suddenly will cure addiction. Different people have different drug abuse-related problems. And they respond very differently to similar forms of treatment, even when they’re abusing the same drug. As a result, drug addicts need an array of treatments and services tailored to address their unique needs.

By Alan I. Leshner, Ph.D., Former Director, National Institute on Drug Abuse, National Institutes of Health