{ "schema_version": "uw.editorial_geo.v1", "representation_profile": "lossless_source_sections", "local_stage_only": true, "catalog_id": "DEP-09-N07", "article_index": "DEP-09-N07", "language": "en", "headline": "A replacement addiction or a new support: looking at an intense interest during recovery", "description": "A replacement addiction or a new support: looking at an intense interest during recovery", "short_answer": "After changing their substance use, a person becomes absorbed in a new activity. They talk about it often, enjoy learning, and finally look forward to tomorrow again. A loved one wonders, “Is this another addiction?” The concern makes sense, but intensity alone cannot answer it. An activity may bring back pleasure, rhythm and connection; it may also start to displace sleep, care and essential obligations. Its effects on this person's life and their room to choose are more informative than a label.\n\nIf there is immediate physical danger, a suspected overdose, a risk of harm to oneself or another person, or a threat of violence, seek local urgent medical or emergency help first. Do not wait for the optional questions at the end. If treatment seems unsafe or health is worsening, contact the treating professional promptly.", "short_answer_source": { "kind": "explicit_about_h2", "role": "lead", "start_utf16": 123, "end_utf16": 953, "sha256_utf8": "2ccc5ed8d33cd49447a2cb28f7e4d72ca5f0c83f621a5c4a66ae89bab037c858" }, "headline_source": { "role": "h1_heading", "start_utf16": 2, "end_utf16": 90, "sha256_utf8": "0f0583dfa155080b82ed5dd3e81782698e7b029c622269d39f1a1304b7840fc5" }, "entities": [], "questions": [ { "q": "What this article is about", "a": "After changing their substance use, a person becomes absorbed in a new activity. They talk about it often, enjoy learning, and finally look forward to tomorrow again. A loved one wonders, “Is this another addiction?” The concern makes sense, but intensity alone cannot answer it. An activity may bring back pleasure, rhythm and connection; it may also start to displace sleep, care and essential obligations. Its effects on this person's life and their room to choose are more informative than a label.\n\nIf there is immediate physical danger, a suspected overdose, a risk of harm to oneself or another person, or a threat of violence, seek local urgent medical or emergency help first. Do not wait for the optional questions at the end. If treatment seems unsafe or health is worsening, contact the treating professional promptly.", "source_spans": [ { "role": "h2_heading", "start_utf16": 95, "end_utf16": 121, "sha256_utf8": "a53bdb09d3d545eddde325393d7fae0fb8be199cef905ef433da14435f905db9" }, { "role": "h2_answer", "start_utf16": 123, "end_utf16": 953, "sha256_utf8": "2ccc5ed8d33cd49447a2cb28f7e4d72ca5f0c83f621a5c4a66ae89bab037c858" } ], "block_ids": [ "p0003", "p0004" ], "source_segment_index": 1 }, { "q": "I. Why a new activity may matter in recovery", "a": "Recovery involves more than leaving an old pattern behind. Everyday life has to be rebuilt, with relationships, housing, health and resources for basic needs. [SAMHSA describes](https://www.samhsa.gov/substance-use/recovery/about) recovery as personal and possible through different paths, drawing attention to health, a safe place to live, meaningful activity and community. Work, study, creativity, caring, rest and social time may all have a place. None is compulsory for everyone, and a new interest does not by itself replace care.\n\nAfter a period when much of life revolved around a substance, a lively interest may feel unusually strong and even frighten the person experiencing it. Enjoyment, dedication and effort do not establish illness. Nor must every activity justify itself as “productive”: rest and play can matter without income or a spiritual explanation. The useful question is whether the new activity helps life become broader and safer or gradually makes it narrower.", "source_spans": [ { "role": "h2_heading", "start_utf16": 958, "end_utf16": 1002, "sha256_utf8": "ecb9cd4debcbdbed55c8896a766a6ff46933938e8d95beaad0079f00dca41b51" }, { "role": "h2_answer", "start_utf16": 1004, "end_utf16": 1992, "sha256_utf8": "5bf2330b1e3aa1d56c594f1f999b1b662020500951464b611251996f15243b2e" } ], "block_ids": [ "p0006", "p0007" ], "source_segment_index": 2 }, { "q": "II. What “substitution” meant in one study", "a": "In a [2021 study by Sinclair and colleagues](https://pmc.ncbi.nlm.nih.gov/articles/PMC8657596/), researchers followed people after residential treatment for substance use disorders in one South African province. A later assessment included 137 people. The authors described participants who had not resumed use of their primary substance or substances after treatment but reported an increase in another behaviour or substance use and strongly felt “addicted” to that substitute. The study shows that such experiences can occur and deserve attention. Its working definition, however, partly depended on participants' own perception; it did not clinically diagnose every new activity.\n\nThis was a selected group from five treatment facilities, and some initial participants could not be followed up. Follow-up intervals varied, while pandemic restrictions may also have affected routines. The study therefore cannot establish that another addiction is inevitable, that risk is the same everywhere, or that love, sport, work and meditation automatically become disorders. Even when an activity serves a similar emotional purpose, its meaning and harms need their own assessment.", "source_spans": [ { "role": "h2_heading", "start_utf16": 1997, "end_utf16": 2039, "sha256_utf8": "56440bb8e69d1cb296f0e54c78da45fe5b956cd391be88b3709c6764d7876f98" }, { "role": "h2_answer", "start_utf16": 2041, "end_utf16": 3217, "sha256_utf8": "c39f4c1cafb93f606d87636886b9098ef0e5cdbd674a2901667322142317f803" } ], "block_ids": [ "p0009", "p0010" ], "source_segment_index": 3 }, { "q": "III. How an interest may become a genuine support", "a": "In a [qualitative study by Veseth and colleagues](https://journals.sagepub.com/doi/10.1080/08897077.2021.1941506), 30 participants from a Norwegian long-term project described meaningful activities in their recovery. Work, developing abilities and reconnecting with community appeared in their accounts. These are descriptions of lived experience, not a trial showing that work, sport or a hobby treats a substance use disorder. The authors noted both the way participants were selected and the particular Norwegian employment and welfare context.\n\nA new support might offer companionship, enjoyment, competence, or simply time that belongs to the person. It may help them reconnect with everyday life, last only for a while, or be unsuitable. A good life does not have to look like full-speed paid work. If safe housing, accessible care or energy is missing, “find meaning in sport” cannot supply those needs. An interest has value as part of life; it is not a condition a person must meet before being helped.", "source_spans": [ { "role": "h2_heading", "start_utf16": 3222, "end_utf16": 3271, "sha256_utf8": "529656a4784f5ba172a32cd10653e97d997f47ba1095970300474cf7ff14ba08" }, { "role": "h2_answer", "start_utf16": 3273, "end_utf16": 4284, "sha256_utf8": "e3f9f80a73d66c9c0086cd5612e3ddc7cb57703ba1c6a0de34a777acdef9dbce" } ], "block_ids": [ "p0012", "p0013" ], "source_segment_index": 4 }, { "q": "IV. Look at effects without diagnosing by hours", "a": "It may help to discuss what is already happening rather than counting time alone. Are sleep, nourishment, health, essential payments, work or study protected as far as the person can manage? Can plans change without serious cost and with other people's consent? Is there room for care, rest and relationships that the person values? When serious losses are already evident and the person continues despite them while feeling unable to choose, a qualified assessment is worth seeking. These questions are conversational prompts, not a home diagnostic scale.\n\nSocially praised activities can have costs. Overwork may harm sleep and relationships; sport may affect health when the demands are unsuitable; a spiritual practice may become a setting for pressure if participation stops being voluntary. That does not make work, sport or prayer disorders. Equally, a pleasurable activity without apparent harm need not be called a “hidden addiction” because it feels good. There is no need to impose a ban as a test, return someone to a substance, or demand an extreme physical challenge to find out what is happening.", "source_spans": [ { "role": "h2_heading", "start_utf16": 4289, "end_utf16": 4336, "sha256_utf8": "6157e81075255494ed1acb1b5498127102c06258fffb1c12b8b2970fe87b28e1" }, { "role": "h2_answer", "start_utf16": 4338, "end_utf16": 5449, "sha256_utf8": "671b4e37104e3e67930bbc4bb3f07d74ee1bace8424bc89b0939d702f8e17308" } ], "block_ids": [ "p0015", "p0016" ], "source_segment_index": 5 }, { "q": "V. Similar interests, different consequences", "a": "Imagine someone who is deeply involved in art, learns a great deal and enjoys meeting others. They can set the activity aside for sleep, treatment and important agreements; life grows more varied. Intensity here does not prove a new disorder. Someone else takes on more and more work, misses medical appointments, hides the consequences and says they cannot stop. Hard work is not a diagnosis either, but harm together with a felt loss of choice is a reason to talk with a qualified professional.\n\nThere is a third possibility. A new commitment may look excessive from outside because the person must combine recovery with necessary income, caring responsibilities or unstable housing. Calling that load a “replacement addiction” may obscure real circumstances. Ask what the person wants to keep, what is causing harm and which external pressures can change. These imagined examples are not rules for diagnosing other people.", "source_spans": [ { "role": "h2_heading", "start_utf16": 5454, "end_utf16": 5498, "sha256_utf8": "02aedcd1aa47e529ef47fade56982b4c1c0cb1c5555f3ac6b17ba2b8d6827181" }, { "role": "h2_answer", "start_utf16": 5500, "end_utf16": 6425, "sha256_utf8": "6500c2b67bafc9a285624f38da79486d642e2303382f50d0df50cb5f375a6d3c" } ], "block_ids": [ "p0018", "p0019" ], "source_segment_index": 6 }, { "q": "VI. Interests and treatment are different supports", "a": "An activity can support daily life, but it should not displace agreed treatment. It is especially harmful to call a prescribed medicine “another addiction” just because someone takes it during recovery. In the specific context of [opioid use disorder, the CDC explains](https://www.cdc.gov/overdose-prevention/treatment/opioid-addiction.html) that clinician-prescribed medication may be an evidence-based part of care. That source is about opioids; it does not prescribe a treatment for every condition. Do not stop, alter or choose medication based on someone else's label or this article. Discuss concerns with the treating clinician.\n\nIf the interest troubles the person or significant effects are already known, a concrete first contact may be their treating professional or a qualified local service for substance use and mental health difficulties. Check actual access for their age, language, cost, waiting time and privacy, and ask where to turn if the first service cannot help. A booked appointment is not care already delivered. Housing, income and safety concerns may need other local services as well. Perfect meaning and complete family agreement are not prerequisites for seeking help.", "source_spans": [ { "role": "h2_heading", "start_utf16": 6430, "end_utf16": 6480, "sha256_utf8": "cec1620a9f739e35fe891ce97c327e9cc14a1c87421fc51370053179ba00b483" }, { "role": "h2_answer", "start_utf16": 6482, "end_utf16": 7682, "sha256_utf8": "54c5333eaea8c28cfe0b5cf7fb9dc70ab2c83e883fbd5690be122d774886c92b" } ], "block_ids": [ "p0021", "p0022" ], "source_segment_index": 7 }, { "q": "VII. Loved ones, voluntary boundaries and safety", "a": "A loved one may speak about how the activity affects their own time, money, duties and safety. They can offer help finding a service or accompanying the person, with that adult's consent. Concern does not permit secretly taking away someone's phone, medication, earnings or access to people and care. Voluntary agreements should preserve basic needs and allow review, while loved ones retain the right to protect their own boundaries. Support is not around-the-clock surveillance.\n\nChildren must not be made monitors of an adult's interests, substance use or treatment. If a child needs help because of events at home, adults should arrange safe, age-appropriate support for the child. Threats, coercion or violence require their own safety response; safe local help for that threat comes before arguing over a name for the behaviour. [SAMHSA](https://www.samhsa.gov/substance-use/recovery/about) treats relationships as one possible part of recovery, but a supportive relationship still depends on consent and safety.", "source_spans": [ { "role": "h2_heading", "start_utf16": 7687, "end_utf16": 7735, "sha256_utf8": "addfd577ac18b301b5ddfc086b4ed27a5caf3d4df74353b65082e962337ae6d1" }, { "role": "h2_answer", "start_utf16": 7737, "end_utf16": 8755, "sha256_utf8": "d01d93bdb2befbbbb89bdf3e351e00c8789918c223cdbece9cec5f5e6380e759" } ], "block_ids": [ "p0024", "p0025" ], "source_segment_index": 8 }, { "q": "VIII. Five optional prompts for a conversation", "a": "This is not a diagnosis, a test of willpower or a monitoring plan. Use only what is already known; skip any question. There is no need to interrupt the activity as an experiment, try a substance, log hours, collect another person's messages, hand over passwords or set a trap.\n\n1. What does the new activity offer that the person values: rest, a skill, connection, enjoyment or something else?\n2. What effects on sleep, health, housing, essential tasks, treatment and relationships are actually apparent already?\n3. Can the person discuss their boundaries and change plans without coercion, and where do they themselves feel a loss of choice?\n4. Which qualified local supports are truly available for their age, language, cost, timing and privacy needs?\n5. How can loved ones offer voluntary support while keeping their own boundaries and not turning children into monitors?\n\nNo one has to submit answers to this article, and uncertainty about a diagnosis need not block help. If there is immediate physical danger, a suspected overdose, risk of harm to oneself or another person, or a threat of violence, seek local urgent medical or emergency help first. Ordinary support need not wait for perfect meaning, a peaceful family or the end of every strong interest.", "source_spans": [ { "role": "h2_heading", "start_utf16": 8760, "end_utf16": 8806, "sha256_utf8": "46de58ce92c71dfae340ead1838878146fd4eee1fcc8219193f4b61c75fbdd04" }, { "role": "h2_answer", "start_utf16": 8808, "end_utf16": 10071, "sha256_utf8": "de318c167805ea107eef7b48dfb5b208f928451f38157e5f35c14ce146062e29" } ], "block_ids": [ "p0027", "p0028", "p0029" ], "source_segment_index": 9 }, { "q": "Sources and limits", "a": "1. Substance Abuse and Mental Health Services Administration. [*About Recovery*](https://www.samhsa.gov/substance-use/recovery/about). Official US recovery overview, updated 25 November 2024. Describes varied paths and the roles of health, home, activity and relationships; it does not diagnose a new interest or promise the same services outside the US.\n2. Deborah Louise Sinclair and colleagues. [*Substitute Behaviors following Residential Substance Use Treatment in the Western Cape, South Africa*](https://pmc.ncbi.nlm.nih.gov/articles/PMC8657596/). *International Journal of Environmental Research and Public Health*, 5 December 2021. Primary observational study in a selected post-treatment group in one South African province; its self-reported definition of substitution and follow-up losses are not a worldwide clinical rate.\n3. Marius Veseth and colleagues. [*“And Then the Rest Happened”— a Qualitative Exploration of the Role that Meaningful Activities Play in Recovery Processes for People with a Diagnosis of Substance Use Disorder*](https://journals.sagepub.com/doi/10.1080/08897077.2021.1941506). *Substance Use & Addiction Journal*, first published online 1 January 2022. Primary interviews with 30 participants in Norway; accounts of valued activities do not prove that any particular hobby treats everyone.\n4. Centers for Disease Control and Prevention. [*Recovery is Possible: Treatment for Opioid Addiction*](https://www.cdc.gov/overdose-prevention/treatment/opioid-addiction.html). Official US public-health information, 2 May 2024. Specific to opioid use disorder and the role of prescribed medication; not a prescription, dosing guide or guarantee of local availability.", "source_spans": [ { "role": "h2_heading", "start_utf16": 10076, "end_utf16": 10094, "sha256_utf8": "f91f16500d95114ea5dd62762b302ab95f247ca4f49fe0affb04993b09f0a299" }, { "role": "h2_answer", "start_utf16": 10096, "end_utf16": 11791, "sha256_utf8": "b1c318e4bdc4ef74bd8b03b3949affe5148f6e14ead839b4517a23e02b4e4dc9" } ], "block_ids": [ "p0031" ], "source_segment_index": 10 }, { "q": "Topics", "a": "recovery; new support; replacement addiction; intense interest; consequences; choice; meaningful activities; treatment; loved ones; consent; children; safety.", "source_spans": [ { "role": "h2_heading", "start_utf16": 11796, "end_utf16": 11802, "sha256_utf8": "e22820fcf5cd90e3fdd99a7569e0ee2f30eb7ebadfb2fe4d159b30c166ff81b7" }, { "role": "h2_answer", "start_utf16": 11804, "end_utf16": 11962, "sha256_utf8": "009f3069a98f19e62e89e6e3699aa35c2321c1b05bf3313789e8df41b655c4fa" } ], "block_ids": [ "p0033" ], "source_segment_index": 11 }, { "q": "Authors", "a": "Andrey Zarinsh — author and founder of United Wisdom. He explores inner transformation, the unity of traditions, intercultural dialogue and contemporary spiritual discipline. Instagram: @andrey.zarinsh.\n\nMaria Evilkut — co-author of United Wisdom. Alongside her research, she aims to test these ideas in practice and observe how the principles of unity and mutual understanding work in real life between people and cultures. Instagram: @ilkutki.\n\nContent last reviewed: 14 October 2026. Language version: EN.", "source_spans": [ { "role": "h2_heading", "start_utf16": 11967, "end_utf16": 11974, "sha256_utf8": "2c00c9aaa72c717ad6d901a09c4d698a68b2e9740be3769e0af7d6bd85d72d5d" }, { "role": "h2_answer", "start_utf16": 11976, "end_utf16": 12484, "sha256_utf8": "c10d017c047407f8554fc5c3586f0c378a156c21fdb17df8c43f5fe70be6f440" } ], "block_ids": [ "p0035", "p0036", "p0037" ], "source_segment_index": 12 } ], "claims": [], "claims_policy": "no_reclassified_claims", "sources": [ { "id": "src_4e34c2cdbb201d5b", "title": "*About Recovery*", "url": "https://www.samhsa.gov/substance-use/recovery/about", "source_spans": [ { "role": "markdown_link", "start_utf16": 1163, "end_utf16": 1234, "sha256_utf8": "46db2feb863aaa1c942d53a697d2c72a61df015d898cc613b97ea669b02b4870" }, { "role": "markdown_link", "start_utf16": 8572, "end_utf16": 8633, "sha256_utf8": "756f15418820b4a40162881edd66f0325e1e9642ecb6c1e6fd23c918d94f40d6" }, { "role": "markdown_link", "start_utf16": 10158, "end_utf16": 10229, "sha256_utf8": "dec32b50c50879a2d65eb87fbcf341eee2ed21b03ed3f840ff727ce00e0481d0" } ], "read_scope": "1. Substance Abuse and Mental Health Services Administration. [*About Recovery*](https://www.samhsa.gov/substance-use/recovery/about). Official US recovery overview, updated 25 November 2024. Describes varied paths and the roles of health, home, activity and relationships; it does not diagnose a new interest or promise the same services outside the US.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 10096, "end_utf16": 10450, "sha256_utf8": "307ceaae9d1b20d5575e50f053bbcc67211199267bdf4da95076acdee8925cb3" }, "shared_entry_urls": [] }, { "id": "src_3d8d8f4ab56e55e5", "title": "*Substitute Behaviors following Residential Substance Use Treatment in the Western Cape, South Africa*", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8657596/", "source_spans": [ { "role": "markdown_link", "start_utf16": 2046, "end_utf16": 2136, "sha256_utf8": "f0be59cf6e9a8656d53e2e85059446d50910590bdcd6c445d602095a903a5280" }, { "role": "markdown_link", "start_utf16": 10494, "end_utf16": 10649, "sha256_utf8": "2b7b70cbe6506ddeb585436dbd311f5f5b35d80e961bd41946e3a42f70f731cd" } ], "read_scope": "2. Deborah Louise Sinclair and colleagues. [*Substitute Behaviors following Residential Substance Use Treatment in the Western Cape, South Africa*](https://pmc.ncbi.nlm.nih.gov/articles/PMC8657596/). *International Journal of Environmental Research and Public Health*, 5 December 2021. Primary observational study in a selected post-treatment group in one South African province; its self-reported definition of substitution and follow-up losses are not a worldwide clinical rate.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 10451, "end_utf16": 10931, "sha256_utf8": "67f83bf2c79dee63f60cdd7c940943332fcd63a11ae51a3e12bc25a941157d25" }, "shared_entry_urls": [] }, { "id": "src_463f94c81721fb1b", "title": "*“And Then the Rest Happened”— a Qualitative Exploration of the Role that Meaningful Activities Play in Recovery Processes for People with a Diagnosis of Substance Use Disorder*", "url": "https://journals.sagepub.com/doi/10.1080/08897077.2021.1941506", "source_spans": [ { "role": "markdown_link", "start_utf16": 3278, "end_utf16": 3386, "sha256_utf8": "448a889709204b227fcb2a8984a0f95e7be4268e784da2fc29ed0cee8edd1703" }, { "role": "markdown_link", "start_utf16": 10965, "end_utf16": 11208, "sha256_utf8": "8920934e9666a1e3b5881158845fdbc683b875882165187c3797ed6053191fec" } ], "read_scope": "3. Marius Veseth and colleagues. [*“And Then the Rest Happened”— a Qualitative Exploration of the Role that Meaningful Activities Play in Recovery Processes for People with a Diagnosis of Substance Use Disorder*](https://journals.sagepub.com/doi/10.1080/08897077.2021.1941506). *Substance Use & Addiction Journal*, first published online 1 January 2022. Primary interviews with 30 participants in Norway; accounts of valued activities do not prove that any particular hobby treats everyone.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 10932, "end_utf16": 11422, "sha256_utf8": "2d8dd92665b618b51549990d42cda63a2dfd9aa3c13ec1abc73248300ae2d52e" }, "shared_entry_urls": [] }, { "id": "src_f3a77043d140732f", "title": "*Recovery is Possible: Treatment for Opioid Addiction*", "url": "https://www.cdc.gov/overdose-prevention/treatment/opioid-addiction.html", "source_spans": [ { "role": "markdown_link", "start_utf16": 6712, "end_utf16": 6824, "sha256_utf8": "50f675465f4f82d4384920b006e32b45bbcb8feaf2d606428abf052821a074f4" }, { "role": "markdown_link", "start_utf16": 11470, "end_utf16": 11599, "sha256_utf8": "8502a4b6b10572ff8ac8cf7605e1abd4771fc02fc19ca4f3df98f94c89762cec" } ], "read_scope": "4. Centers for Disease Control and Prevention. [*Recovery is Possible: Treatment for Opioid Addiction*](https://www.cdc.gov/overdose-prevention/treatment/opioid-addiction.html). Official US public-health information, 2 May 2024. 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