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The 7 Stages of Substance Dependence

  • Writer: The Counseling Center
    The Counseling Center
  • Jun 1, 2024
  • 3 min read

Updated: Jun 27, 2024


man in counseling

Addiction is a complex disease that profoundly impacts the brain and alters an individual’s behavior, making understanding its progression crucial for early detection and intervention. By recognizing the stages of addiction, individuals and their loved ones can identify warning signs early and seek necessary help before dependence on the substance forms.



Stage One - Initiation

The journey into addiction often starts with the initiation phase. During this stage, individuals try substances for the first time, which can be due to various reasons. Peer pressure, curiosity, or an attempt to manage stress, emotional pain, or existing mental health conditions.


Stage Two - Experimentation

Following initiation, the experimentation stage sees individuals using substances infrequently Most of the time, in this stage, the substance is connected to social actions, such as experiencing pleasure or relaxing after a tiring day. During this stage, the individual is still making a conscious choice of whether to use or not - they can easily withdraw from it because dependency has not developed.


This phase is critical as the effects felt during these times can influence whether a person will continue to use. 


Stage Three - Regular Use

What was once occasional use now becomes a regular activity. During this stage, psychological and social factors, such as feeling accepted among peers or using substances to alleviate stress regularly, encourage continued use. 


Regular use doesn't necessarily mean daily use, but the individual typically develops a pattern of use, such as on weekends or during times of stress or sadness.


Stage Four - Risky Use/Abuse

At this stage, substance use begins to interfere with one’s health, responsibilities, and relationships. Users might neglect work, school, or family obligations, or engage in risky behaviors like driving under the influence. 


The frequency of substance use increases, and at this point, many people close to the individual will notice a change in their behavior.


Stage Five - Dependency

Dependency marks a transition from using substances for pleasure or occasional relief to a compulsive need to use. This dependence can be psychological or physical. Psychological dependence is when the individual feels like they cannot function normally without the substance. Physical dependency is where the body shows withdrawal symptoms without the substance. 


In both cases, the individual starts to believe they need the substance. Once this mindset takes hold, addiction is nearly certain without professional intervention.



Stage Six - Addiction

Addiction is a complete loss of control over substance use, compulsive behavior, and continued use despite terrible consequences. It affects physical health, mental well-being, and deteriorates relationships and professional responsibilities. The individual may struggle with financial problems, health issues, and social isolation.


Even after a person quits using a drug and has undergone treatment, there will always be the danger of relapse. This means one must commit to an entire lifestyle change to maintain a life of recovery. 



Stage Seven - Crisis And Treatment

This final stage is the make-or-break stage for most individuals struggling with substance abuse. In stage 7, the addiction is at its lowest point and there is often a “crisis” that marks the turnaround point for an individual, or the point of no return.


It’s typically at this point that many seek professional help and enter recovery programs like at The Counseling Center. Entering recovery can be initiated by a life-threatening event, the insistence of family or friends, or legal issues.


Immediate Help At TCC

Understanding the stages of addiction is crucial for timely intervention and effective treatment. Each stage offers an opportunity for intervention but requires different approaches and resources. If you or someone you know is struggling with substance dependence, TCC is here to help. Reach out today to start the journey toward recovery and reclaim control over your life.

21 Comments


Kristen Baran
Kristen Baran
21 hours ago

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Oct 13

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