What Is Drug Addiction?
Drug addiction, also known as substance use disorder (SUD), is a behavioral disorder that involves uncontrollable drug seeking and use. Additionally, addiction affects three main areas of health: biological, psychological, and social. Changes in the brain can lead to harmful outcomes for people who abuse drugs and can impact all three aspects of overall health. Presently, SUD is known as a chronic relapsing disorder, which means that those who suffer from addiction will relapse fully if they begin using again — even after a period of abstinence.
Understanding addiction is an important part of recovery. At Tree House Recovery, we specialize in helping those suffering from addiction to alcohol and drugs. Our programs are designed to help our clients heal on all three levels.
Addiction starts with the voluntary act of taking drugs. After continued use, addiction occurs when a person becomes physically and mentally dependent on the substance. Then drug-seeking and abuse become a compulsion. This is due to the physical and chemical changes in parts of the brain involved in motivation and reward, learning and memory, and impulse control.
Can Addiction Be Treated?
Addiction is a treatable disorder. However, those with a substance use disorder may be aware of their problem but cannot stop on their own. This is because of the effects drugs have on the brain, known as neuroadaptation. Put simply, drug abuse rewires the brain’s reward system to equate drug use with survival. Fortunately, a quality addiction program and the support of family and friends can be effective in helping someone recover from addiction.
Substance Use Disorders We Treat
In our North Carolina center, we offer effective, evidence-based outpatient treatment for:
Our Approach to Addiction Treatment
Choosing Change
Effective treatment for addiction is available. First, accepting there is an issue with addiction is necessary. You can’t fix what doesn’t exist. Also, there must be a desire to change the behavior. Interventions can lead to successful entry into treatment. However, self-motivated action is always ideal when it comes to entering a recovery program.
Stabilization
Second, stabilizing in a medical detox/residential program is often beneficial. A medical professional will conduct a formal assessment of symptoms to identify the extent of the substance use disorder. This helps to ensure a safe detox and treatment plan. The detox/residential level of care aids in getting a person stable for receiving comprehensive therapy needed in the next phase of treatment. Medications are often used to prevent seizures, control drug cravings, and lessen symptoms of withdrawal. Reducing these symptoms helps to prevent relapses during this time.
Therapy
Third, therapy will be needed. Because SUDs typically affect many aspects of a person’s health, a multi-pronged approach of coordinated therapies creates the most effective result. To that end, a combination of individual, group, and fitness/lifestyle therapy is most effective. To put it another way, repairing the biological, mental, and social damage caused by addiction is essential. The best treatment approaches address an individual’s unique situation and any co-occurring problems to optimize health for lasting recovery.
For example, one-on-one therapy can help individuals with SUD better understand their motivations and behaviors as they develop a healthy sense of self. In addition, fitness therapy helps to normalize biology, relieve stress, and create a healthy lifestyle. And group therapy aids in building strong peer support networks and communication skills.
Aftercare
Everyone’s recovery journey is unique. Recovery typically requires aftercare strategies beyond detox and intensive treatment. These may include:
- Family program
- Outpatient holistic care
- Structured, drug-free environments (sober houses)
- Support groups (Alcoholics Anonymous, Narcotics Anonymous, SMART Recovery)
- Support groups for family members (Al-Anon or Nar-Anon Family Groups)Allf
How to Help a Loved One
Some suggestions to get started:
DO’S
- Learn everything you can about their patterns of alcohol and drug use. Understanding addiction is key when you’re learning how to support your loved one.
- Be there for them. For example, you can communicate what you see and offer your help and support.
- Come from a place of compassion. You may find them rationalizing, minimizing, or becoming defensive and angry. Prepare yourself to respond with specific examples of behavior without judging them. Above all, compassion is key.
- Expect that they will need your help to stop. Keep in mind that their brain is wired to see drugs as a survival necessity. Friends and family often play a vital role in helping someone enter treatment.
- Practice self-care. Undeniably, addiction affects loved ones too. Support their recovery process by taking care of yourself. It’s critical that you focus on repairing the trauma, resentment, and codependency that often affects the loved ones of addicts. Self-help groups can be a great resource.
Some things you don’t want to do:
DONT’S
- Lecture. Shaming results in increased feelings of guilt and increases the compulsion to use.
- Be a martyr. Guilt-based appeal increases feelings of shame and only increases the compulsion to use.
- Cover up or take on their responsibilities. This only helps them use substances without consequences and enables their addiction.
- Argue. Arguing doesn’t generate productive conversations.
- Use alcohol or drugs with them. In effect, this only cosigns the behavior.
Substance Use and Addiction Statistics in North Carolina
As substance use disorder (SUD) rates climb across North Carolina, the impact on local communities has become impossible to ignore. In 2022, over 4,310 residents lost their lives to drug overdose3.
While addiction rates can be difficult to track due to underreporting and diagnostic barriers, the following statistics offer a clear picture of the crisis:
- 8 North Carolinians die each day on average from drug overdose 4
- 15.29% of individuals aged 12 and older (approximately 1.38 million people) had a substance use disorder in 2023 5
- 87.5% (1.21 million) of those with SUD did not receive treatment
As communities recover from events like Hurricane Helena, the emotional and financial stress can further fuel substance use. Research has shown that trauma, housing instability, and limited access to care significantly increase the risk of addiction.6
At Tree House Recovery, we provide comprehensive support to individuals affected by SUD, particularly in counties hit hardest by the opioid epidemic and natural disasters. A 2016 report by Castlight Health ranked four North Carolina cities among the top 25 in the nation for opioid abuse rates7:
- Wilmington: 11.6% (ranked #1)
- Hickory: 9.9%
- Jacksonville: 8.2%
- Fayetteville: 7.9%
While this data was based on employer-sponsored insurance and may not reflect all populations, it underscores a deep and urgent need for help. Tree House Recovery is committed to offering the resources, structure, and care necessary to end addiction and rebuild resilience in these North Carolina communities.
References:
- Mayo Clinic. Drug Addiction (substance Use disorder) – Symptoms and Causes. Mayo Clinic. Published October 4, 2022. https://www.mayoclinic.org/diseases-conditions/drug-addiction/symptoms-causes/syc-20365112
- Roberts AJ, Koob GF. The Neurobiology of Addiction: An Overview. Alcohol Health and Research World. 2024;21(2):101. https://pmc.ncbi.nlm.nih.gov/articles/PMC6826825/
- Drug Overdose Mortality by State. Centers for Disease Control and Prevention. January 10, 2025. Accessed June 4, 2025. https://www.cdc.gov/nchs/pressroom/sosmap/drug_poisoning_mortality/drug_poisoning.htm.
- North Carolina Overdose Epidemic Data. Division of Public Health. 2024. Accessed June 4, 2025. https://www.dph.ncdhhs.gov/programs/chronic-disease-and-injury/injury-and-violence-prevention-branch/north-carolina-overdose-epidemic-data.
- SAMHSA Center for Behavioral Health Statistics and Quality. National Survey on Drug Use and Health: 2022‑2023 state-specific tables of model-based estimates (totals and percentages). 2024. Accessed June 4, 2025. https://www.samhsa.gov/data/sites/default/files/reports/rpt56188/2023-nsduh-sae-state-tables_0/2023-nsduh-sae-state-tables.htm.
- Aldridge R. Will Hurricane Helene Impact Drop in NC Drug Overdose Deaths? North Carolina Medical Society. November 14, 2024. Accessed June 4, 2025. https://ncmedsoc.org/will-hurricane-helene-impact-drop-in-nc-drug-overdose-deaths/.
- The Opioid Crisis in America’s Workforce. Castlight Health. 2016. Accessed June 4, 2025. https://content.castlighthealth.com/rs/598-XVD-020/images/Castlight-Report-Opioid-Crisis-In-Workforce-web-YC.PDF?aliId=eyJpIjoiZWh3bXI5Zm15TkdMck5YQiIsInQiOiJpblJWT3N6T1RiU0NzMXZYNjFMQWxBPT0ifQ%253D%253D.