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Why addiction is no longer just a clinical category

Farid Sabet-Sharghi, MD
Physician
January 6, 2026
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Addiction is no longer a clinical category. It has become the cultural baseline.

We used to think of addiction as something that happened to a few vulnerable people who “couldn’t handle” life’s pressures. Now it’s woven into everyday existence. Most of us reach for our phones before we reach for a breath. We chase stimulation without noticing we’re chasing. We live in a world that subtly trains us to crave.

Somewhere along the line, the definition of a meaningful life collapsed into the material and visible. A strong body, a polished image, rising metrics, expanding portfolios, these have quietly replaced the older language of purpose, character, and contribution. When meaning is reduced to what can be displayed or accumulated, the human being shrinks into an organism of appetites.

And the marketplace is happy to meet those appetites. Entire industries profit by manufacturing a sense of perpetual insufficiency. Products that once solved problems now promise identity. What used to be called greed, restlessness, or self-absorption gets repackaged as “ambition” and “personal optimization.” Even our vocabulary for distress has been biochemicalized: dopamine cravings, reward pathways, neuroplasticity hacks, as though the human spirit were simply a malfunctioning circuit.

It’s easy to point to the obvious cases: the teenager lost in endless gaming, the adult scrolling themselves numb at midnight, the professional who can’t walk ten feet without checking notifications. But these aren’t outliers. They are mirrors. The conditions shaping them shape all of us.

Social platforms are engineered to be irresistible. Shopping is instantaneous. Entertainment never ends. And the “good life” is marketed as something you buy, broadcast, and endlessly upgrade. Under those forces, what looks like personal weakness is often a predictable human response to an environment designed to capture attention and convert it into revenue.

Even our solutions tend to stay within this same narrow frame: better apps, more refined therapies, more targeted medications to “correct” the addicted brain. But the crisis we’re facing isn’t just neurochemical. It’s existential. We’re trying to treat symptoms without asking what kind of human being (and what kind of society) we are trying to cultivate.

The way forward, I believe, begins with restoring a fuller picture of humanity. One that acknowledges our need for purpose, service, connection, courage, creativity, and meaning. When people feel anchored to values larger than consumption, their compulsions loosen. When they experience belonging and direction, stimulation stops being the only available reward.

And we see hints of this everywhere: community groups that give young people purpose beyond performance; circles where adults reflect honestly on their lives; neighborhood efforts built around connection rather than consumption. These small, unglamorous pockets quietly reintroduce dignity into a culture obsessed with desire.

They remind us that life doesn’t have to be lived in reaction to cravings.

Not rooted in deficiency, but in strength.

Not driven by distraction, but guided by meaning.

In a society where addiction has become the default setting, reclaiming this larger vision of what it means to be human may be our most important act of healing.

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Farid Sabet-Sharghi is a psychiatrist.

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