

A psychoactive substance is a drug or any other substance which can affect the way our brain works and causes a change in mood, awareness, thoughts, feelings, or behavior. This includes alcohol, tobacco, cannabis, cocaine, heroin, designer drugs like ecstasy, steroids and the list goes on. These act on our brains in different ways and produce undesirable effects. The dosage at which these effects come into action varies from individual to individual. However, the final common pathway for all substances is the same. Saying “no” is not always easy, sometimes it is not just a choice. It is a disease in which there is a significant change in brain chemistry and even structure that necessitates medical support for saying ‘NO’.
“Drugs” are not the only substances that give you a “high”; certain behaviours do too. In this era of smart gadgets and artificial intelligence, getting hooked into social media platform is considered the new normal. However when such behaviours lead to personal, economic or professional pitfalls, associated with physical or psychosocial difficulties like irritable mood, sleep disturbances, appetite changes etc, it is indeed time to check for behavioural addictions.
Other behaviours which may lead to addiction are gambling, internet gaming, sexual behaviours etc.
In behavioural addictions, the psychosocial effects are more notable when compared to psychoactive substance use disorders, for e.g. a gambling person may attempt several times unsuccessfully to stop gambling, becomes irritable over it and starts to lie to hide gambling , losses occur including issues at workplace, finally resorting to borrowing or even stealing money to meet gambling needs.

