Findings
Substance Abuse is a brain disease
While the choice to use alcohol and drugs is initially voluntary, alcohol and/or drug addiction arises because the normal functioning of the brain is impaired so that alcoholism and drug addiction become a “chronic relapsing disease of the brain” (National Institute of Drug Abuse, Drugs, Brains and Behavior. The Science of Addiction. 2014, 5). Drugs impact the pathways of the brain by flooding the circuit with dopamine, which disturbs and distorts normal communication between the brain’s neurons. Dopamine is a neurotransmitter present in regions of the brain which regulates movement, emotion, motivation and feelings of pleasure. Over stimulating the system with drugs produces euphoric effects which strongly reinforce the behavior of drug use teaching the user to repeat drug use. Continuing alcohol and drug use despite the adverse consequences of such use results in abusers experiencing some or all of the following symptoms: mental stress, impulsive behavior, anger, disorganized thinking, poor coping skills, inadequate decision making and inflexible cognitive response patterns.
Treatment Intervention and Prevention – Current Methods
Current interventions and prevention methods tend to concentrate on solving the immediate or surface issue of the addicted individual which includes: (a) clinical detoxification treatment from the drug of choice to rid the body of the adverse physical effects of the drug(s), (b) identifying the
Addiction is a chronic brain disease that often results in some sort of relapse. Addiction is characterized by inability to control drug use which results in problems with one’s behaviors and interpersonal relationships. This disease causes compulsive behaviors such as the need to use drugs despite the many harmful consequences that affect the addicted individual and those around him or her. Although for most people, the initial decision to use drugs is a one time lapse in judgement, the brain is easily affected by these drugs if the person decides to use these drugs multiple times. The changes that occur to the brain over time will cause the addicted person’s ability to resist the intense impulses of drugs to be altered causing the addict to often give into the temptation of these drugs. Like other chronic diseases, addiction often involves cycles of relapse and remission. Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death. Drug addiction is an issue that many people deal with whether they are the addict or the addict is their loved one; but with a good source of support anyone can over come the challenges and consequences of addiction.
Substance use disorder also has neurological factors, such as dopamine and endogenous opioids being affected by use, creating an extremely pleasurable high (Rosenberg and Kosslyn, 2011). Though, this effect on neurotransmitters creates a difficulty when chronic drinkers try to quit. When one’s body gets used to the addition of alcohol to one’s system their body will no longer produce these endogenous opioids without it, creating intense and painful withdrawal symptoms (Rosenberg & Kosslyn 2011). These factors make alcohol extremely difficult to quit.
Brain chemistry can affect different addicts more then others. Drugs and alcohol are more of the main addictions that brain chemistry affects. Once taking these addictive substances your internal natural drug dopamine is lowers causing you to seek more external addictive substances. This causes craving and makes it a lot harder for the addict to stop. In Olds and Milner’s later experiments, they allowed the rats to press a particular lever to arouse themselves, to the effect that they would press it as much as seven-hundred times per hour. This region soon came to be known as the "pleasure center". Using drugs and alcohol stimulates the pleasure center in the brain that makes your brain think, “feels good- want more“. This can make it increasingly harder for an addict to stop using, until they hit a point called “rock bottom”. This is where choice comes back into play.
To understand addiction further, it is important to look at how drugs have neurological effects in a human body. Drugs can be ingested in various ways; while some are taken orally, some are smoked (cannabis) while others are injected directly into the blood stream (Heroin). Once in the body, they mainly affect the reward pathway in the brain, known as the dopaminergic pathway, which in turn gives pleasure. Even though all drugs affect the reward and motivation pathways in the brain, their speed depends on the way the drug has been consumed. Over constant use of drugs, the cognitive functions are impaired as the effects become more prominent in learning, memory
This research paper will evaluate the biological aspects of addictive substance or behavior and how it affects the brain and organs. Biological aspects include dopamine levels that are replaced in the brain due to the reward system being overtaken and the absorption rate of the drug once it is ingested will be discussed. The biological aspects are extensive and permanent if the individual does not get the help they need. Furthermore the clinical issues of addictive substance or behavior will be discussed along with medical treatments and ethical issues. This includes treatments such as counseling
In order to successfully decrease the cases of drug addiction, society needs to remember that we cannot change the physiological effects of drugs, but we can prevent individuals from turning into them. In other words, the primary focus should be on the individual and not the drug.
According to the biological perspective, drug use may start off as casual, but through continued use, it produces changes in the brain that influences the onset and maintenance of drug addiction. (Horvath et al., 2013). Drugs have their most prominent effects on the function of neurotransmitters. Almost all major drugs of abuse activate the reward system and cause a flood in the levels of dopamine which is a neurotransmitter that is involved in pleasure. As a result, not only do people learn to associate drug use with pleasure, but the brain also starts to reduce its own natural dopamine production in adjustment to the levels of dopamine produced by the drugs. This is called tolerance, and the consequences of tolerance are highly influential
Even the most severely addicted individuals can participate in treatment; in the hopes of reducing their drug and alcohol use. Treatment programs with the higher success rates offer a combination of treatments. I will explore substance abuse prevention programs in this paper. I will summarize their goals, funding, and effectiveness.
The current method for treating drug addiction is failing those addicted. Firstly, it is very difficult and expensive
79). Overall, this is a problem, because there continues to be a lack of the public endorsement and support of those seeking treatment regardless of the addiction. Individuals suffer with addictive behaviors for many reasons that include genetic factors. These things are uncontrollable and are harder to be prevented. Inaba and Cohen (2014) stated, “One of the genes that signals a susceptibility to compulsive overreaction” (p. 7.47). The new definition of addiction non/substance and behavior is now based on the psychoactive drugs and certain behaviors that produce the surge of dopamine in the midbrain are biological substrate for addictive behavior (Smith, 2012). Overall, it is important to include all addictive behaviors and substance abuse when diagnosing individuals. It is more important to treat all conditions or addictions than it is to assume that it is not as an important or one is more problematic than one or the
Addiction is a Brain Associated Disorder that Allows the Body to Become Dependent on a Substance
There are many contributing factors and political issues that address substance abuse. Throughout the years, many researchers have designed many interventions and social policies designed to treat people who have used, abused, and became addicted to substances. Today, there are many new studies that address substance abuse at the individual, group, family, and community or policy levels. Today, there are many services that are effective for decreasing recidivism in youth who have completed a substance abuse program. A substance abuse treatment program or center is the best way to treat individuals who have abused substances.
Substance addiction can hugely impact on a person’s thinking, functioning and behaviour. Whilst depressant drugs such as alcohol and opioids slow down your central nervous system (CNS), stimulants such as cocaine or amphetamine increase the activity of the CNS, leading to higher blood pressure, heart rate and increased alertness. Repeated abuse of the substance leads to tolerance and withdrawal, in turn this leads to the user showing signs of irrational behaviour. Another form of substance abuse is hallucinogens; they can cause powerful changes in sensory perceptions. It works by binding to the serotonin receptors, these neurons control visual information and emotions, and this can lead to various effects on the user. Neurobiology can help us understand the reasons for addiction and the effects they have on us. Groman and Jentsch (2012) discuss key issues of differentiating the causes and consequences of addiction through neuroimaging and behavioural research on monkeys, they found that the dysfunction of the dopamine
The complexity of the human brain creates mystery when determining the influence of neurophysiological factors and their role in the process of addiction. There is a proposed relationship between drug addiction and the mesolimbic dopamine system, with the mesolimbic pathway from the ventral tegmental area to the nucleus accumbens considered the ‘reward centre’ of the human brain (Alcohol Rehab, 2011). A release of dopamine is necessary for ‘reward’ which is hypothesised to initiate the addiction cycle by providing positive reinforcement for drug self-administration (Feltenstein & See, 2009). Methamphetamine triggers the release of dopamine from synaptic vesicles which flood the synaptic cleft activating feelings of euphoria, well-being
“The overstimulation of this reward system, which normally responds to natural behaviors linked to survival (eating, spending time with loved ones, etc.), produces euphoric effects in response to psychoactive drugs. This reaction sets in motion a reinforcing pattern that “teaches” people to repeat the rewarding behavior of abusing drugs ”(“Understanding Drug Abuse). Using addictive drugs floods the limbic brain with dopamine, taking it up to as much as five or ten times the normal level. A person with elevated dopamine levels now has a brain that begins to associate the substance with an outside neurochemical reward (“Your Brain on Drugs”). As a person continues to abuse drugs, the brain adapts to the overwhelming surges in dopamine by producing less dopamine or by reducing the number of dopamine receptors in the reward circuit. The result is a lessening of dopamine’s impact on the reward circuit, which reduces the abuser’s ability to enjoy the drugs, as well as the events in life that previously brought pleasure. The decrease in normal dopamine levels encourages the addict to keep abusing drugs in an attempt to bring the dopamine function back to normal, except now larger amounts of the drug are required to achieve the same dopamine high, an effect known as tolerance (“Understanding Drug Abuse ). That is what leads to the state of addiction, which leaves the person in a cycle of craving, using, withdrawal, and relapse.