Other addictive choices, like workaholism for men or obsessive weight reduction for women, are less obvious because they are not only tolerated by our culture but often actively rewarded. Even the language of addiction in such instances can seem overblown and easy to dismiss. But the persistence of any behavior in the face of known harmful consequences qualifies as an addiction. Just because a supplement for self-esteem is socially rewarded does not mean that it will not have disastrous consequences for the individual who relies on it.

