I think a nuance that's lost is the difference in addiction between a pharmacological substance vs a behavior. "Brain scans" and their equivalents will do a much better job revealing the former than the latter. That doesn't make behavioral addictions any less damaging from a holistic view of the patient's health (i.e. their overall quality of life).
To me, I feel as though that behavioral addiction is completely disregarded by the medical community. If someone is lighting up every night / having a drink and want to stop, they need an alternative way of closing out the day. Otherwise of course it'll be difficult.
Well what's behavior and what's addiction? Let's go down a thought exercise. Imagine yourself in the following scenarios:
1. Imagine you're going to Walmart. You see a friend. "You say hi and raise your hand to draw attention" However, they walk right past you without even acknowledging your presence.
What is your first thought? Maybe "Jerk!", "he's busy?".
You don't have control over that first thought, but you do have control over that second thought and your actions thereafter. Addiction messes with your first thoughts and attention. Next scenario
2. A wife and a husband are driving down the road. The wife notices Kohl's is having a 50% off and the husband notices that Andy's liquor store has two six pack for the price of one.
In this case, due to addiction, the husband noticed that Andy's liquor store and that's a craving. His awareness was drawn to that sign with a subconscious cue influenced by addiction.
Therefore, someone who wishes to maintain sobriety has to be very self-aware of their thoughts and actions. They have to guard themselves from triggers, situations, people and then manage those other aspects they can't control.
It's important to acknowledge that addiction is a disease as framed in the above scenarios. However, it does require a conscience behavioral change maintaining a certain level of awareness of self to sustain sobriety.
It isn't helpful for people to view themselves as simply a character flaw when going through addiction because their brain is scarred. It doesn't mean they can't make poor choices and not choose to maintain to pursue sobriety. Their behavior matters and their disease matters.
To me, I feel as though that behavioral addiction is completely disregarded by the medical community. If someone is lighting up every night / having a drink and want to stop, they need an alternative way of closing out the day. Otherwise of course it'll be difficult.