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Wants Versus Needs and the Importance in Sobriety

In Recovery, Treatment by Tree House RecoveryLeave a Comment

These are the definitions for “want” and “need”, according to the Merriam-Webster Dictionary.

  • Want (n): “deficiency, lack”; “something wanted”; “desire”
  • Need (n): “necessary duty”; “obligation”; “a lack of something requisite, desirable, or useful”;  “a physiological or psychological requirement for the well-being of an organism”

TL;DR: Addiction changes the brain, making harmful choices feel like needs rather than wants. Part of recovery involves retraining the brain’s reward system—which requires more than just stopping use.

For men who have lived with an active addiction to drugs and alcohol, telling the difference between a ‘want’ and a ‘need’ can be tricky to navigate. Drugs and alcohol are mind altering chemicals, causing changes in brain chemistry which leads to dysfunctional behavior. Part of the dysfunction in addiction is confusing the difference between wanting and needing for the addicted brain relates to its substance of choice in both ways. For example, when the brain starts to withdraw from drugs or alcohol, the brain is experiencing a “deficiency” or “lack” of mind altering substance(s). The brain most certainly wants more drugs or alcohol to fill that deficiency because the brain has become chemically dependent upon those substances. Drugs and alcohol rewire the brain in such a way that the substance becomes a crucial part of survival. “Need” is part of the definition of “want”. To the addicted brain and body, drugs and alcohol are needed as part of an “obligation” to the process of addiction. Drugs and alcohol are “something requisite, desirable, or useful” to addiction. The brain and body become convinced that drugs and alcohol are the only way to stay alive. As a result, the substances become “a physiological or psychological requirement for the well-being of an organism,” even though they are creating great harm. Many men in recovery will explain to someone who has never experienced addiction that in the beginning, they want to use drugs and alcohol. In the end, however, they need to in order to get by.1

It is of little surprise that learning to define and identify the difference between wants and needs in recovery can be a challenge. Knowing the difference between a want and a need is critical for many areas of life in recovery, from diet and nutrition to financial management to relationships.2 Addiction causes the balance between wants and needs to become unbalanced. Recovery is, in many ways, about reinstating and maintaining balance in life. Often, men who come to recovery can no longer define what their needs are. After living life for the first time in a long time without drugs and alcohol can lead men to even have difficulty defining what their wants are. However, learning to define both is important for combatting the voice of addiction which may try to tell men in recovery that they need to use drugs and alcohol when they are simply having normal thoughts of wanting to use drugs and alcohol. More importantly, men must learn to want their sobriety as much as they realize they need their sobriety. Sobriety and life in recovery becomes as much a want – something desired – as a need – both “a physiological or psychological requirement for the well-being of an organism”.

Next Steps: Knowing the difference between wants and needs is key to a life-long recovery. Call Tree House Recovery PDX at (503) 850-2474 to start treatment that builds clarity, structure, and real change.

FAQs About Wants vs Needs

In addiction recovery, needs are essential for survival and well-being—like food, rest, safety, and support. Wants are emotional impulses that feel urgent but are not required for sobriety.

Addiction often blurs the lines between wants and needs, making substances feel like needs. Clear separation of the two reduces the risk of relapse and strengthens recovery stability.

Understanding wants and needs creates clarity under pressure. When you know what truly matters, you make decisions that protect long-term recovery—not short-term relief.

One strategy that can help people identify wants and needs is checking-in before acting. Ask: Will this help me stay sober? Use a daily check-in or work with a therapist to clarify your non-negotiables.

Addiction rewires the brain to treat comfort as survival. This distorts judgment, making cravings feel like necessities.

  1. Stanford Tobacco Prevention Toolkit. Wants vs. Needs in Addiction. Stanford Medicine. Published 2019. Accessed June 17, 2025. https://med.stanford.edu/content/dam/sm/tobaccopreventiontoolkit/documents/nicotineaddiction/NAM-LPs/Wants-Needs-Addiction.pdf
  2. Vermani M. How to separate your wants from your needs. Psychology Today. Published November 8, 2022. Accessed June 17, 2025. https://www.psychologytoday.com/us/blog/deeper-wellness/202211/how-separate-your-wants-your-needs

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