Substances
More than just the chemical...
Public discussions about addiction often focus almost entirely on substances:
- alcohol,
- nicotine,
- illegal drugs,
- prescription medications.
Chemistry matters. Neurobiology matters. But if we only look at the substance, we miss at least half of the picture.
In many high‑functioning lives, the substance is:
- a toolembedded in performance rituals,
- a regulatorof stress, emotion, and social dynamics,
- and sometimes a maskthat allows the system to keep running longer than it should.
High‑performance addicts
High‑performing individuals – in finance, business, medicine, law, and other fields – often become masters of disguise:
- Their careers continue.
- Their social roles appear intact.
- Their consumption is rationalized as “necessary” or “under control.”
On the surface, they function. Underneath, they gradually lose:
- flexibility,
- genuine rest,
- and the ability to say “no” without destabilizing their entire system.
In these contexts, the question is rarely “What does the substance do in the lab?” but:
- “What role does it play in the architecture of this person’s life?”
- “What would collapse if we removed it tomorrow?”
- “What other dependencies would immediately take over?”
Substances, behaviours, systems
For this reason, I rarely look at substances in isolation.
Instead, I map:
- Substances– What is used? How often? In what combinations?
- Behaviours– Work patterns, digital habits, relational dynamics, risk‑taking.
- Systems– Professional environment, family structures, economic constraints, cultural expectations.
Often the substance is:
- a symptomof a deeper dependency (e.g. on recognition, control, speed, avoidance),
- or one element in a chain of cross‑dependenciesthat keeps the overall system in a fragile balance.
Why this matters for change
If we see substances only as enemies to be removed, we risk:
- destabilizing lives without offering functional replacements,
- or simply pushing people from one substance to another behaviourally similar pattern.
If we see substances as part of a broader dependency management system, we can:
- understand what role they play,
- design realistic withdrawal or reduction strategies,
- and build new structures that make the old configuration unnecessary.
This systemic view is central to my work – and it is one of the reasons why future projects like LEERZEIT will go far beyond simple substance lists.
