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June 9, 2025 by Alan Zupka

What Are the 4 Cs of Addiction?

Understanding Addiction Through the Lens of Compassion and Change

Addiction can take many forms. Some individuals struggle with substances such as alcohol, nicotine, or drugs. Others find themselves caught in cycles of gambling, compulsive shopping, or other behaviors that begin to feel unmanageable. No matter the form it takes, addiction often tells a story, a story of pain, unmet needs, and the search for relief.

In my work, I frequently explore the underlying narratives clients carry about their relationship with addiction. I also draw from evidence-based approaches, including cognitive behavioral therapy, mindfulness, and positive psychology, to help people reclaim a sense of agency and rewrite these stories in more empowering ways.

One common framework I find helpful in understanding addiction is the “Four Cs”: Compulsion, Craving, Control, and Consequences.

1. Compulsion

Over time, the relationship with a substance or behavior can begin to feel less like a choice and more like a requirement. Compulsion emerges when a person feels an overwhelming drive to engage in the behavior, even when part of them does not want to. In therapy, I help clients gently unpack the story behind this compulsion and identify what it might be trying to soothe or silence.

2. Craving

As addiction deepens, cravings often become more intense. These cravings may feel physical, similar to hunger or thirst, leading to agitation, sleep disruption, or loss of appetite. Mindfulness-based practices can help increase awareness of these sensations without judgment and create space between the urge and the action.

3. Control

Many individuals try to moderate their use or stop the behavior altogether. While some may succeed for a time, addiction often erodes the ability to control it in the long term. In our work together, I support clients in identifying the thoughts and beliefs that influence their choices and build skills to regain a sense of direction and stability.

4. Consequences

One of the most painful elements of addiction is its ability to persist even when it causes harm. People may continue to use or act despite knowing the risks to their health, relationships, employment, or freedom. Rather than focus on shame, I work collaboratively with clients to build a new story rooted in accountability, hope, and the possibility of change.

Are You Struggling With Addiction?

If any part of this resonates with you, I want you to know that you are not alone. Addiction does not define you; it is one part of your story, not the whole. With the proper support, it is possible to reshape that story in a way that honors your values and creates room for healing.

As a therapist, I provide a compassionate and nonjudgmental space to explore your unique experiences and goals. Together, we can begin the work of rewriting your narrative, one step at a time. If you are ready to begin that journey, please contact me for a consultation. I am here, and I am prepared to walk alongside you.

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Filed Under: Addiction

Alan Zupka

Alan Zupka | Counselor | LGBTQ Community | Orlando, FL

(407) 986-2888
alan@azupkacounseling.com

Orlando, FL 32803

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