Addictions can occur in a wide variety of forms. Often, it is assumed that physical dependence characterised by withdrawal symptoms is required in order for someone to be diagnosed with an addiction use disorder, but the fact is that behavioural addiction can occur with all the negative consequences in a person’s life minus the physical issues faced by people who compulsively engage in drug and alcohol use.
The rituals that occur before, during and after also make up part of the addictive process. For example, cooking heroin in a spoon and putting on a tourniquet can be just as addictive at the heroin itself. Likewise, visit the local shop, knowing that when you get home in 10 minutes, you can drink. These “preparation behaviours” are just as important to highlight and treat.