National Certified Addiction Counselor, Level 2 (NCAC II) Practice Exam Exam

What is one reason individuals may primarily use substances?

1. To enhance their mood

2. To avoid withdrawal symptoms

3. For social acceptance

4. To improve cognitive function

The correct answer is: To avoid withdrawal symptoms

Individuals may primarily use substances to avoid withdrawal symptoms due to the body's physiological dependence on the substance. When someone becomes dependent, their body adapts to the presence of the substance, and stopping its use can result in uncomfortable or painful withdrawal symptoms. These symptoms can be severe enough that individuals may choose to continue using the substance to prevent experiencing them, creating a cycle of dependence that is difficult to break. This reason is particularly significant in the context of addiction, as it highlights the physiological aspect of substance use where the body demands the substance to function normally, effectively leading to continued use despite negative consequences. While enhancing mood, achieving social acceptance, and improving cognitive function are also reasons individuals might use substances, they often relate more to the initial choice to start using rather than the compulsion that can develop as a result of dependence. The avoidance of withdrawal serves as a powerful motivator for continued substance use, directly linked to the physiological and psychological aspects of addiction.