Figure 1. The three stages of the addiction cycle and the criteria for substance dependence.
There are three stages in the addiction cycle: binge/intoxication, withdrawal/negative affect and preoccupation/anticipation; these stages are defined from a psychiatric perspective, with different criteria for substance dependence incorporated from the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) [92].
(Adapted with permission from The American Association for the Advancement of Science and Koob GF, Le Moal M: Drug abuse: Hedonic homeostatic dysregulation. Science (1997) 278(5335):52-58. © 1997 The American Association for the Advancement of Science)