| Feature | Physical Dependence | Addiction (Behavioral/Psychological) |
|---|---|---|
| Primary Driver | Biological need to avoid withdrawal | Compulsive craving and loss of control |
| Focus | Body's adaptation to a substance | Behavioral patterns and life impact |
| Outcome | Tolerance and physical symptoms | Social, occupational, and internal conflict |
Identify the 'Big Six': When analyzing a case study, look for specific evidence of all six characteristics (Salience, Mood Mod, Tolerance, Withdrawal, Conflict, Relapse) to confirm a diagnosis of addiction.
Differentiate Conflict Types: Be prepared to categorize conflicts as either 'interpersonal' (arguments with family/friends) or 'intrapsychic' (the internal struggle of wanting to stop but being unable to).
Check for Tolerance vs. Withdrawal: Ensure you don't confuse the two; tolerance is about the increase in use, while withdrawal is about the reaction to stopping use.
The 'Choice' Fallacy: A common misconception is that addiction is merely a lack of willpower; in reality, the neurological changes in the brain's reward system significantly impair the individual's ability to make rational choices.
Substance-Only View: Many students mistakenly believe addiction only applies to drugs or alcohol, but behavioral addictions (like gambling or gaming) exhibit the same six core characteristics.
Frequency vs. Addiction: High frequency of a behavior does not automatically equal addiction; the presence of negative consequences and the inability to stop (conflict and relapse) are the defining factors.