How We Think About Addiction: Happiness, Stigma, and Everything Between

Once a person becomes addicted to a substance, be it alcohol, tobacco or drugs, the addiction becomes a biological and medical problem. But how as person thinks about quitting, and often, why they started using the substance in the first place, is far more psychological. It’s because of this that substance abuse is so often grouped with mental health rather than physical health. For example, the government agency concerned with addiction is called the Substance and Abuse and Mental Health Services Administration. And a person being treated for substance abuse, when physically stable, will almost always work with a therapist or counselor in their recovery.

In the past week, two new studies have been published that shed additional light on how we think about addiction. First, an article from the American Journal of Epidemiology on what stops people diagnosed with alcoholism from entering treatment programs. The study found that a portion of people diagnosed with alcohol dependence avoid treatment programs, even if they think the programs will help, because they’re afraid that attending will “confirm their membership in a stigmatized group.” To these people, the perceived negative judgment of others is great enough to outweigh getting help. The study found that younger people hold less fear of stigma (and so, presumably, less stigma as well) about alcoholism.

The second study looked at the relationship between smoking and happiness. There’s a fairly widespread belief that people facing depression or anxiety turn to cigarettes as a form of self-medication, a behavioral replacement for therapy or counseling. But a study from Brown University found that smokers who are depressed become much happier once they quit. There may very well be an initial ‘high’ from the success of kicking the habit, but this study found that their happiness was consistent, even 6 months after quitting. Those who quit temporarily and then went back to smoking plunged to an even lower level of depression than they’d had at the start. Between the two studies, a picture emerges: overcoming addiction through quitting, support groups, and even therapy can be very good for a person’s mental health; the goal now is to lessen stigma in order to encourage more participation in such life changes.

© Copyright 2010 by By Noah Rubinstein, LMFT, LMHC, therapist in Olympia, Washington. All Rights Reserved. Permission to publish granted to

The preceding article was solely written by the author named above. Any views and opinions expressed are not necessarily shared by Questions or concerns about the preceding article can be directed to the author or posted as a comment below.

  • Leave a Comment
  • TUNA88


    December 9th, 2010 at 1:28 PM

    I don’t understand why some people are concerned about what others think about them signing up for a deaddiction program. And even if other people are nosy, there are groups that offer anonymous deaddiction programs so you can hide the fact that you signed up from the others!

  • CleanLiving87


    December 9th, 2010 at 4:48 PM

    If one is seeking help, then one shouldn’t care about what others are thinking. If an addiction is effecting his or her life priorities, then nothing else should matter except for getting help. I think another reason why people are hesitant on joining a rehab program is because they are in denial, and like you mentioned in this article, does not want to be part of that specific stigma. This article explains more about that.

  • eric


    December 9th, 2010 at 4:50 PM

    i just can’t kick my habit of smoking and it really worries me.but whenever i have a problem or am tensed lighting up relieves me of it.what do i do?

Leave a Comment

By commenting you acknowledge acceptance of's Terms and Conditions of Use.



* Indicates required field.

Therapist   Treatment Center

Advanced Search

Search Our Blog

Title   Content   Author is not intended to be a substitute for professional advice, diagnosis, medical treatment, or therapy. Always seek the advice of your physician or qualified mental health provider with any questions you may have regarding any mental health symptom or medical condition. Never disregard professional psychological or medical advice nor delay in seeking professional advice or treatment because of something you have read on