What Is Evidence-Based Addiction Treatment?
April 17, 2019 Kristance Harlow
When looking for treatment for addiction, there is a lot of information out there and countless opinions. Friends, family, doctors, researchers, and people in recovery all have their own beliefs about what you need to do to get well. Unlike in other areas of healthcare, addiction treatment is often deemed “effective” based on anecdotal reports. In fact, most people who seek or are forced into treatment do not receive health care that is aligned with evidence-based practice.
A frequently-cited definition comes from a 1996 article in the BMJ Medical Journal: evidence-based “means integrating individual clinical expertise with the best available external clinical evidence from systematic research.” Other definitions also include the patient’s individual circumstances, preferences, expectations, and values.
These variables are not necessarily constant, and there is no one-size-fits-all solution; any list of evidence-based treatments is going to include a wide variety of approaches.
What is Addiction?
In the United States, addiction is still treated more as a crime than as a chronic illness or disorder. Until that perspective changes, treatments will not meet their full potential and will not be as effective as they could be. Addiction, or substance use disorder (SUD), is a chronic medical condition that has remissions, relapses, and genetic components.
Are Relapses Normal?
A relapse is not a failure but a symptom. The brain of a person with SUD has gone through neurobiological changes that increase the risk of relapse because the damaged reward pathways stick around much longer than the substances stay in the body. Stressful events and other painful life experiences can trigger that maladaptive coping mechanism and cause a relapse.
For other chronic illnesses we would consider a relapse to be an unfortunate symptomof the disease, and we might call it a recurrence instead of a relapse. When successfully managed, the condition is considered to be in remission. Remission is a term that is relatively new in addition treatment; substance use disorder was not always believed to be a disease but rather a moral failing and a problem of willpower. We now understand that addiction is a chronic medical condition and that remission is the goal of treatment. Remission, as defined by the American Society of Addiction Medicine, is “a state of wellness where there is an abatement of signs and symptoms that characterize active addiction.”
Continue reading this article on The Fix.
Childhood Trauma, Body Dysmorphic Disorder, and Plastic Surgery Addiction
No, You Aren’t a Drug Addict If You Take Antidepressants
Join the mailing list.
No spam and we will never share your information.
If you or someone you know is in immediate danger, call your local emergency number. The numbers listed here are the commonly used numbers for the stated region, the numbers can vary greatly depending on where you live. If you don't know your country's equivalent to 911, this wiki page and The Lifeline Foundation have comprehensive listings.
112 & 999
112, 999, 110
112, 911, 999, 111, & 000
Find help for a crisis by texting, calling, or chatting online with these free crisis organizations. Looking for one outside of the USA? Check out our support listings.
These online and international resources may help you anywhere you are located. Looking for local support outside of the USA? Check out our support listings.
Leave a Comment