Many people quietly wonder how to tell if they have an addiction, often when habits begin to interfere with work, health, or relationships. Addiction is not a failure of willpower or character. It is a complex condition influenced by brain chemistry, psychology, environment, and unresolved trauma. Recognising the signs early is a critical step toward recovery.
Addiction can involve substances such as alcohol prescription medication, as well as behavioural addictions like food, or compulsive internet use. While the form may differ, the underlying patterns are often similar.
One of the clearest signs is loss of control. You may plan to stop or limit use, yet repeatedly exceed those intentions. Preoccupation and cravings are another indicator, where thoughts about using or engaging in a behaviour dominate daily life, especially during periods of stress. Over time, tolerance often develops, requiring more of the substance or behaviour to achieve the same effect, increasing physical and psychological risk.
When use stops, withdrawal symptoms such as anxiety, irritability, insomnia, nausea, or low mood may appear, reinforcing the addictive cycle. A key warning sign is continued use despite harm, including damaged relationships, declining performance at work, financial strain, or health problems. Many people also use substances to regulate emotions, especially when coping with trauma, anxiety, or depression.
Addiction frequently co-occurs with mental health conditions known as dual diagnosis, where each condition intensifies the other unless treated together. Modern, trauma-informed addiction treatment recognises that substance use often begins as a coping strategy rather than a choice. Evidence-based approaches such as the Minnesota Model of addiction treatment integrate medical care, psychotherapy, peer support, and relapse prevention for long-term recovery.
If you recognise these signs, seeking a professional assessment and choosing an integrated programme that addresses addiction and mental health together can significantly improve outcomes. Acting early makes recovery more achievable.
Author Bio
Harmony Clinic is a leading addiction treatment centre specialising in trauma-informed addiction treatment, dual diagnosis care, and evidence-based recovery models including the Minnesota Model. With a multidisciplinary clinical team, Harmony Clinic supports sustainable healing for individuals and families affected by addiction. Learn more at https://www.harmonyclinic.co.za.