What does continued substance use despite harmful consequences indicate?

Continued substance use despite experiencing harmful consequences is a significant indicator of a potential dependency issue. This behavior reflects a pattern often associated with addiction, where individuals prioritize substance use over their well-being, relationships, and responsibilities. Even when facing negative outcomes—such as health issues, legal problems, or strained relationships—the individual persists in using the substance, suggesting that their ability to control their usage is impaired. This compulsion can indicate that they have developed a psychological or physical dependency on the substance, leading to cravings and withdrawal symptoms when not using.

The other options do not accurately reflect the implications of continued use in the presence of harm. An absence of addiction would imply that such behaviors do not occur, while a lack of desire for treatment does not directly correlate with repeated harmful use; rather, it suggests a different aspect of the individual’s mindset or circumstances. Lastly, complete control over substance use contradicts the very nature of dependency, where individuals typically struggle with their ability to regulate their consumption despite negative repercussions.