Craving (withdrawal)

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Craving (withdrawal)

Craving (withdrawal) is a psychological phenomenon that occurs during the process of withdrawal from substances such as alcohol, nicotine, opioids, and stimulants. It is characterized by an intense desire or urge to use the substance again, despite the negative consequences associated with its use.

Definition and Overview[edit | edit source]

Craving is defined as a powerful, often uncontrollable, desire for a specific substance. It is a common symptom of withdrawal, which is a group of symptoms that occur upon the abrupt discontinuation or decrease in intake of medications or recreational drugs. Cravings can be triggered by various factors, including stress, exposure to the substance or related cues, and even certain times of the day.

Causes and Triggers[edit | edit source]

Cravings are primarily caused by the brain's response to the absence of the substance. When a person uses a substance regularly, their brain becomes accustomed to the presence of the substance and adjusts its normal functions accordingly. When the substance is suddenly removed, the brain struggles to readjust, leading to cravings.

Triggers for cravings can be internal or external. Internal triggers include thoughts, feelings, and physical sensations that remind the person of the substance. External triggers can include people, places, things, and situations that remind the person of the substance.

Management and Treatment[edit | edit source]

The management of cravings involves both pharmacological and non-pharmacological interventions. Pharmacological treatments include medications that reduce cravings, such as buprenorphine for opioid cravings and varenicline for nicotine cravings. Non-pharmacological interventions include cognitive behavioral therapy, mindfulness, and relapse prevention strategies.

See Also[edit | edit source]

References[edit | edit source]


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Contributors: Prab R. Tumpati, MD