Last Updated:
August 21st, 2025
If addiction is only treated on a physical level, it may be akin to treating someone who is bleeding by wiping away streams of blood and overlooking the site of the wound. There needs to be a deeper consideration of what is driving substance use in the first place.
Addiction does not only dwell in your bloodstream. It takes hold of your thoughts, your memories, your habits and your pain.
Addiction does not only dwell in your bloodstream. It takes hold of your thoughts, your memories, your habits and your pain. If you’ve ever asked yourself, “Why can’t I just physically stop?” this might be the missing piece you’ve been searching for.
Why do many of us think of only the physical side of addiction?
If you were to conjure up a mental image of a person struggling with addiction, the tangible effects and physical tolls would probably appear. Signs like deteriorating health, bruises, or punctures on the body are relatively easy to observe and measure. They’re also often easier to respond to medically.
We have seen public campaigns and multimedia advertising that highlight the shocking physical consequences of addiction, like collapsed veins and rotten teeth. In some ways, it is much harder to convey the non-physical pains of addiction, so the damage to the mind may take a backseat to the physical signs.
Plainly put, it is easier for many of us to relate to physical experiences than psychological ones. This is a natural process for sympathetic creatures; we see another person in physical pain and part of us is compelled to help them, as we can physically imagine ourselves in the same predicament.
The psychological drivers that fuel the fires of addiction
Recovery experts understand that drug addiction is almost never just a matter of the physical world. In the mind of an addicted person, a complex web of emotions, trauma, coping mechanisms and behavioural patterns continues to fan the destructive flames of addiction.
When the non-physical layers of addiction are ignored, we risk treating a symptom while the cause remains fully operational. A full recovery is almost impossible without addressing the intangible underpinnings that give substance addictions their terrifying strength.
Some of the deepest psychological drivers of addiction include:
Addiction as a coping mechanism
Addiction often begins as a response to emotional distress. A person finds themselves in a place they simply no longer wish to be, whether that is physically or mentally. A person struggling with chronic anxiety or stress may find solace in a substance’s numbing effects. Yet the escape is only temporary, and as tolerance toward the substance increases, the escape becomes even more short-lived.
The negative cycle of reinforcement
Once the dangerous door to addiction is opened, a person’s brain becomes stuck in a pattern of reward and repetition. Even when substance use is no longer immediately enjoyable, the compulsive behaviours around the drug may continue out of routine and familiarity.
An addicted person’s brain learns to expect the substance in times of stress, releasing dopamine in anticipation. After a drug’s effects take hold and eventually wear off, feelings of shame and guilt often emerge, which fuel the desire to return to use once again.
Breaking this cycle takes more than physical detox; it needs psychological intervention to rewire learned thought patterns and responses to build healthier habits.
Trauma’s profound effect on addiction
Few relationships are as deeply linked as trauma and addiction, especially when the trauma has roots in childhood. Research shows that “adverse childhood experiences” (ACEs) significantly increase the risk of addiction. Research also sadly indicates that people with a history of ACEs have a 4.3-fold higher likelihood of developing a substance use disorder.
Without psychotherapy such as trauma-informed care, the root cause of a person’s addictive behaviours remains in the dark, driving further use to escape the psychological turmoil so common in drug addiction.
The broader social and behavioural influences around us
It is difficult to comprehend the myriad of non-physical drivers in addiction without attempting to understand the broad, invisible forces at play in our everyday lives.
While there are, of course, physical contributors to addiction, like being in close proximity to paraphernalia or having many contacts for drugs in your phone, there certainly are other external forces that silently affect whether we can escape addiction or not.
These can include:
“People, places and things”
Behavioural experts and addiction psychologists believe that changing “People, places and things,” should be held in the highest regard, especially during early recovery. It is a simple-sounding premise, but its significance can make the difference between successful escape and painful relapse.
“People, places, and things” refers to the way your brain subconsciously links drug use to external stimuli. This includes the places you go and the people you spend your time with. It can be as subtle as the smell of a pub, to the tinkling sound of two glasses, or the sound of a friend’s voice you often take the drug with. Recognising this myriad of covert influences can show you how far-reaching the non-physical pressures of drug addiction are.
Multimedia depictions of substance and alcohol use
While some helpful and factual forms of media depict the realities of substance use disorders, there are frequent depictions of drug addiction in the media we willingly and unknowingly consume. When a song or TV series portrays substance use as exciting or rebellious, it can lower the perceived risk for those in recovery, and especially for young people.
Addicted characters are frequently shown as tragic or romantic figures, rather than real people in need of treatment and support to stay sober. Constantly being exposed to these depictions can desensitise the mind and normalise behaviours that are much riskier than the media will tell us.
What makes “holistic treatment” so powerful in recovery?
You may have heard of the adjective “holistic,” used to describe a specific approach to recovery treatment in rehab centres. In medicine, holistic treatment refers to the treatment of the whole person, taking into account mental and social factors, rather than just the symptoms of an illness.
Holistic treatment approaches focus on the fact that true recovery means more than quitting a substance. The whole person needs healing, so holistic treatment aims to improve every aspect of a person’s life.
This type of treatment combines traditional therapy in rehab with wide-reaching recreational practices to open the door to new avenues of healing and self-expression. After suffering from an addiction for many years, a person is likely to feel dispirited, and so the spirit becomes something that also needs nourishment. Mindfulness and art therapy are used to give someone the key to new forms of expression. Whether they step through the door is entirely up to them, but the benefits can be multitudinous for those who wish for it.
Improving your physical body and nutrition are additional areas of emphasis in holistic healing. You can learn how to give your body deeper nourishment through healthy eating, which in turn gives more energy for exercise and leads to better sleep hygiene. These practices support not only immediate healing but also long-term recovery planning, empowering you to make lasting lifestyle changes that sustain sobriety.
Where can I find complete treatment for my addiction?
If addiction has taken hold in your life or someone you love, please know that recovery is possible, but it must address more than just the physical side.
At Recovery Lighthouse, we understand the importance of treating the whole person. That starts by answering a vital question: What is detox? Detox is the medically assisted process of removing harmful substances from your system safely and effectively. Once complete, therapy can begin to tackle the root causes of addiction, rebuilding your life from the bottom up.
You deserve a life free from the grips of addiction. Reach out to us today to take that first step towards a brighter, sober tomorrow.
(Click here to see works cited)
- Douglas KR, Chan G, Gelernter J, Arias AJ, Anton RF, Weiss RD, Brady K, Poling J, Farrer L, Kranzler HR. Adverse childhood events as risk factors for substance dependence: partial mediation by mood and anxiety disorders. Addict Behav. 2010 Jan;35(1):7-13. doi: 10.1016/j.addbeh.2009.07.004. Epub 2009 Aug 8. PMID: 19720467; PMCID: PMC2763992.
- Broekhof R, Nordahl HM, Tanum L, Selvik SG. Adverse childhood experiences and their association with substance use disorders in adulthood: A general population study (Young-HUNT). Addict Behav Rep. 2023 Mar 30;17:100488. doi: 10.1016/j.abrep.2023.100488. PMID: 37077505; PMCID: PMC10106480.
- “Why Change People, Places, and Things in Early Recovery?” Psychology Today, Sussex Publishers, www.psychologytoday.com/us/blog/understanding-addiction/202106/why-change-people-places-and-things-in-early-recovery