Addictions

Addictions: Paths Back to Freedom

6 min read · Version française

Understanding addiction differently

Addiction is a difficult relationship with a substance or a behaviour that a person continues despite the harm it causes, and often despite genuinely wanting to stop. Alcohol, tobacco, drugs, gambling and other compulsive behaviours can all take this form. From the outside it can look like a simple lack of willpower; from the inside it is usually far more complicated, involving relief, habit, shame and a struggle that willpower alone rarely resolves.

Seeing addiction as a condition to be worked with, rather than a moral failing to be punished, is the starting point of effective help.

Meeting people where they are

One of the most important shifts in modern approaches is to stop lecturing and start listening. Change is more likely when it comes from the person's own reasons, not from pressure or guilt.

Motivational Enhancement Therapy is built on this idea. Rather than confronting or shaming, it helps the person explore their own mixed feelings about change, to voice their reasons for wanting something different, and to strengthen their own motivation. The therapist works as a partner, respecting that ambivalence is normal and that the decision belongs to the person.

Brief Therapy for Addictions and Impulses focuses on concrete, present-oriented work: understanding the triggers that set off cravings, finding alternative responses, and building practical strategies to handle high-risk moments. It is oriented toward achievable goals within a limited number of sessions.

What these approaches aim at

These therapies do not promise an effortless cure, and they do not pretend that change is simple. What they aim at is to help the person clarify what they truly want, to reduce the harm the addiction causes, and to build workable skills for the moments when the urge is strongest.

The work often centres on:

  • Ambivalence, which is treated as normal rather than as resistance.
  • Triggers and cravings, understood so they can be anticipated.
  • Small, realistic goals, whether reduction or abstinence, chosen by the person.

Slips are part of the road

Setbacks are common on the way out of an addiction, and treating them as total failures often does more harm than the slip itself. A more useful view sees a lapse as information: what happened, what was the trigger, what could be different next time. This attitude keeps the door open rather than slamming it with shame.

Freedom regained, step by step

Recovery is rarely a straight line, and it usually benefits from support, whether professional, peer-based or both. But the direction is real. Many people find that, with the right accompaniment and at their own pace, the grip of an addiction can loosen and a freer relationship with their own choices can return.

Approaches such as Motivational Enhancement Therapy and Brief Therapy for Addictions and Impulses share a respectful stance: they treat the person as the author of their own change rather than as a problem to be corrected. That respect is not a detail; for many people it is precisely what makes lasting change possible.


*This article is educational in nature and does not replace a medical or psychological consultation. Addiction can have serious health consequences; please seek support from a qualified professional or a specialised service.*

These approaches are detailed in the Mémento des Psychothérapies. See the full therapy directory or more articles.