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Drugs & Health Blog

Myth or Fact? “Addiction Is a Choice"

©Shutterstock/Andrii Kondiuk

The NIDA Blog Team

Have you ever heard someone say that addiction is a choice? What they probably mean is they think that the person could stop using drugs if they really wanted to. But addiction doesn’t work that way.

It’s true that not everyone who uses drugs becomes addicted. People react to drugs differently. There's no rule about how soon someone becomes addicted.

And it is a choice to use a drug for the first time.

However, the fact is that addiction is not a choice.

The first time a person takes a drug, they might like how it makes them feel. They believe they can control how much and how often they take the drug. But drugs can take away their control.

If the person continues to use the drug, after a while they might need to take the drug just to feel normal. They might start taking more, just to get the same high. The person might keep using the drug, even though it starts hurting their life.

They might spend a lot of time trying to get more of the drug. Seeking and using drugs might start hurting their loved ones, but the person still can’t stop. These are signs of an addiction.

Addiction is not a choice; it’s a brain disease. Drugs can change how the brain works, and those changes can last for a long time.

An addiction is an illness, just like heart disease and cancer are illnesses. An addiction is not a weakness. It can happen to anyone and at any age. But the chances for addiction are higher when a person starts using drugs when they’re young.

To learn more, check out the blog post, “What Increases the Risk of Having a Drug Problem?”

Comments posted to the Drugs & Health Blog are from the general public and may contain inaccurate information. They do not represent the views of NIDA or any other federal government entity.


The stigma in our community is so high against those who do or have used illicit drugs. It's been a battle to help those in recovery because our community brothers & sisters with SUD feel shame and not excepted...:(

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