ro4eva
Bluelighter
No, someone requiring insulin for diabetes has an illness, you have a methadone addiction, it's completely different.
I disagree with the term "addiction" for those who are otherwise clean and stabilized (and are in a MMT program). I'm also on methadone for 3 1/2 years and I consider myself physically dependent on the stuff, but not addicted.
When I think of addiction to anything (not just drugs), the following criteria and behavior is usually key to determining if it really is an addiction:
Addiction implies obsession.
- For example, if you're addicted to something (or someone) you often can't stop thinking about it and planning for your next fix.
Addiction implies negative long term consequences
- What I mean by this is that any addictive behavior (not limited to drug use) tends to produce pleasure, relief, and other payoffs in the short run, but pain, grief, misery, and more problems in the long run.
Addiction implies a lack of control
- For example, once the alcoholic picks up that first drink, (s)he is finishing the entire bottle.
Addiction implies denial
- As addicts begin to pile up problems at work and at home - virtually everywhere - as a result of their addiction and their neglect of ongoing problems, they inevitably begin to deny two things: (1) that the drug is a problem they can't control and (2) that the negative consequences in their lives have any connection whatsoever to their drug use.
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I doubt Guido is obsessed with his methadone, or that he cannot stop thinking about it.
With respect to long term consequences, I believe that MMT has benefited Guido in the long run, and has not made things worse than before he started.
Re. lack of control - If Guido is receiving carries, I don't think he'd drink them all in one sitting for obvious, fatal reasons.
Finally, denial doesn't apply here because chances are that ever since Guido started MMT, things in his life which would be considered important (finances, relationships, lifestyle, etc.) have been steadily improving.
At worst, IMO, Guido is not an addict (re. methadone), but he's also not Mr. Clean (since methadone is an opioid, thus, it causes the body to form a physical dependency to it). More like, he's managing his previous habit by way of opioid substitution so that he can get on with (the other parts of) his life.
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