Lack of self control and using drugs to the point of addiction are both choices.
Blown 'reward system'? Suck it up, or self medicate…. both choices.
then you don't believe in impulse control disorders. I assure you they exist and it's not a choice. How do you explain the dysphoria, the desire to quit or stop but being unable? if it was a choice it would seem easy given the distress it causes.
I agree with you generally, that's the answer, but to dismiss in it's entirety is missing the point. It's like saying those with tourette's have a choice to tic or to not tic, something is wrong in the brain.
