1 The Neuroscience of Addiction Robert Walker, M.S.W., L.C.S.W., Assistant Professor University of Kentucky Center on Drug and Alcohol Research
2 Why do we need the science on addiction i for community projects? First, there is a growing body of neuroscience about the brain as well as social and psychological research about behavior. Much of the research challenges our daily attitudes and beliefs about addiction. Second, with a new special project, it can be useful to try and draw people together into a more closely l shared perception of the problem to be addressed.
3 The Beginning Point Neuroscience, over the past 50 years has shown that every thought, sensation, emotion, physical movement is accounted for in terms of brain structures and chemistry. This is not say that everything is caused by neurons, but nothing happens in human behavior except by the mechanisms of the brain. Behavior, including addiction is related to: 1. Anatomical characteristics of brain regions; 2. The functions of neurons, including their connectivity it into pathways or circuits ; and, 3. The neurochemistry that exists between neurons that allows them to interact.
4 Brain and Behavior: The 2-Way Street Thinking, feeling and behaving are produced by brain anatomy and chemistry. However, thinking, feeling and behaving shapes the development of brain anatomy and chemistry. Just as brain structures can affect behavior (e.g., a stroke s effect on speech), likewise i personal experience can affect brain structures. For example, pe, the experience e of severe e e trauma, a, severe chronic depression, or long term abuse of alcohol, have all been shown to result in loss of brain cells in the brain s memory-forming and retrieving center, the hippocampus.
5 The neuron The cell body has a nucleus and numerous organelles A single axon carrying impulses away from the cell body One or more dendrites bringing impulses in to the cell body dendrites cell body nucleus axon
6 Neurons, receptors
7 What they actually look like
9 Much is known more is unknown There is scientific data on about 50 neurotransmitters (the chemicals that create nerve cell communication) and there are probably some 300 neurotransmitters in the human brain. Recent technology allows very fine-grained detail not only about core structures in the brain but also what regions are activated during specific tasks or experiences. So, for example, imaging a brain while the person is watching a film shows that the occipital lobes are greatly activated because this is where visual information is first processed in the primate brain. Naturally, this kind of regional diversity leads to the question What parts of the human brain are involved in addiction?
10 The Science of Addiction There is a growing body of evidence of structural vulnerability of brains to the effects of intoxicating substances. Several factors contribute to this vulnerability: 1. Genetic 2. Early developmental influences and environmental factors 3. Effects of stressful life events across the life cycle 4. Mental disorders principally depression and anxiety
11 Who is vulnerable? Persons most at risk for substance abuse and more so, dependence, d generally have higher h rates of impulsivity, i it more difficulty managing negative affects their moods and feelings. It might be said this way: There is a lack of a balancing mechanism in some brains and this can affect a person s thinking, behaving, and range of emotions. The drug dependent person, even before ever using drugs, has brain characteristics that may predispose a vulnerability to the effects of mind-altering drugs. After a long period of using drugs, the addicted person ends up with a substantially altered brain chemically and even anatomically.
12 What drives addiction? All intoxicating substances are made of molecules that are shaped much like the brain s natural neurotransmitter molecules. A neurotransmitter is simply a messenger molecule that activates a pathway or network of neurons in the brain. Several neurotransmitters are affected by addictive substances, but at the most basic level, most end up activating the ventral tegmental area (VTA) and the nucleus accumbens (NAc) the pleasure centers of the brain.
13 Brain structures and addiction The human brain has reward centers that mediate the experience of pleasure. The ventral tegmental area and the nucleus accumbens are the primary locations for core pleasure experiences. When a person experiences pleasure from chocolate, a ride in a fast car, a buzz off a drug, the nucleus accumbens has been activated.
14 VTA and NAc Reward-seeking is facilitated by the release of the neurotransmitter dopamine in the nucleus accumbens (NAc), Subpopulations of NAc neurons even respond to predictive cues to promote reward-seeking behavior. Even cues about a drug can mobilize brain centers to begin pleasure expectations.
16 ICSS= Intracranial self stimulation ENK = encephalin DA= Dopamine GABA= γ- aminobutyric acid Bowles Center for Alcohol Studies at UNC NE= Norepinephrine
19 In addition to the internal structures that mediate reward experiences, the anterior cingulate cortex (ACC) along with the orbitofrontal cortex basically navigates among reward and consequences expectations. Among individuals with addictions, the ACC is hypoactive, suggesting diminished capacity to do the kind of sorting out among rewards and punishments that could be expected from using drugs.
20 Frontal lobe -voluntary control of skeletal muscle -personality -higher intellectual processes (concentration, planning, and decision making) Parietal lobe cutaneous and muscular sensations understanding di speech formulating words to express yourself Temporal lobe Occipital lobe interpretation of auditory sensations storing (memory) auditory and visual experiences integrates movement in focusing eye conscious perception of vision
21 This slide shows the specific regions in the brain where opiate receptors are particularly prevalent.
22 Brain and habituation The brain consists of millions of circuits and pathways. The more a particular pathway is exercised, the greater the strength of that pathway and the more it begins to dominate mental space. However, with neurotransmitters, when an excess is added to the brain system, the brain tries to compensate by getting rid of the excess. So, the more you import, the harder the brain works to get rid of the excess. Over time, the whole distribution of neurotransmitters gets out of kilter and the person can only function when importing the desired neurotransmitters to activate the pleasure parts of the brain.
23 Effects on Brain Activity Various approaches to functional brain imaging g have been used to study specific areas of the brain in relation to the whole. Brain activity can be measured by examining how glucose is being metabolized by regions of the brain. It can also be studied d by FMRI for functional anatomy and by SPECT to assess regional brain metabolism. These approaches allow one to examine specific areas affected by substance use.
24 Drug user s brain from the under side AMEN CLINIC BRAIN SPECT GALLERY
25 AMEN CLINIC BRAIN SPECT GALLERY Drug user s brain from the top
26 AMEN CLINIC BRAIN SPECT GALLERY Healthy brain from the underside
27 AMEN CLINIC BRAIN SPECT GALLERY Healthy brain from the top
28 Side by Side Healthy Drug User
29 Genetics Evidence has been found for a genetic influence on alcoholism, opiate dependence and, less robustly, other CNS depressants such as tranquilizers. Genes do not make the disorder; they merely present an increased vulnerability to having the disorder. Genetic vulnerability to depression and anxiety can also contribute to a vulnerability to drug dependence. d Gene expression can also be altered by life experiences as with chronic severe depression.
30 The meth user s brain (drug free) shows lower levels of dopamine because the brain has learned how to accommodate the high levels of artificially induced dopamine.
31 NIDA Division of Clinical Neuroscience and Behavioral Research, NIDA NOTES, 21,(4), October, 2007
32 Brain functioning under other insults- similarity il i to addiction i The long term effects of substance use and even long term untreated depression can reduce frontal lobe functioning in the human brain. The frontal lobes are where planning, executive functions, emotion management, and reasoning occurs AND this is the area of the brain that most needed for recovery activities. In addition, i head injuries i can produce similar il effects on the frontal lobes.
33 Underside view of a depressed brain see the yellow and green areas at the frontal lobe area showing decreased activity there. Picture courtesy of Dr. William Klindt of Silicon Valley Brain SPECT Imaging, San Jose, California
34 Now, for comparison, look at this same view from the underside of a brain that has had frontal lobe injury in an auto accident. The yellow and green colored areas are where there is less brain activity. Picture courtesy of Dr. William Klindt of Silicon Valley Brain SPECT Imaging, San Jose, California
35 Brain injury and addiction can actually result in similar effects on brain activity particularly in the frontal lobes where decisional thinking occurs Here in this set of images, you can see a pre-injury and post injury difference in blood flow. The blue, yellow and green areas are where there is less brain activity that is where the injury was. Picture courtesy of Dr. William Klindt of Silicon Valley Brain SPECT Imaging, San Jose, California 35
36 More on Genetics Basic neurochemical functions in the human brain may be set by genes. Some people are born with imbalances of certain neurotransmitters such as serotonin. Chronic lower levels of serotonin may result in vulnerability to substance abuse hence the concern about depression and substance abuse or dependence.
37 Drug use and neuro-vulnerabilities Much of the thinking is that brains that lack sufficient neurotransmitter availability may be vulnerable to drugs that help compensate for vulnerability. Likewise, some brains may simply be more sensitive to the euphoriant effects of certain drugs. For example, opiates for most people are distasteful, causing vomiting and a foggy feeling. For those who have a particular mu-opioid id receptor site gene (A118G), the opiate produces a feeling of wholeness and peace in the world.
38 Association tracts: t connect neurons in same area these pathways can be affected during fetal development when the mother uses alcohol. In addition, alcohol use during fetal development can affect how well neurons migrate to their propose place in the brain. 2. Commissural tracts: that connect neurons in one cerebral hemisphere with neurons in the contra-lateral (opposite) hemisphere, ie. the corpus callosum
39 Are the changes from drug use permanent? Nope. Yep. There is increasing evidence of brain recovery from certain kinds of addiction. Long term heavy alcohol use results in some permanent damage and alcohol is perhaps the most harmful drug to the CNS. However, much of the damage done by alcohol use can be either restored or the brain can develop compensations for damaged areas. Even with methamphetamine, h t there is evidence of correcting earlier CNS damage. However, fundamental neurochemical imbalances that were there before the addiction, may still need attention. ti
41 Imaging the underside: Extensive HX Alcohol and Cocaine Before and After TX Before After Brainplace.com, Presented by The Amen Clinics Inc.
42 Do all drugs work the same? Nope. Yep. Each substance mimics a particular neurotransmitter, but in the end, each of these trigger a cascade of chemical events that results in activation of the VTA and NAc. If the event did not end up in the VTA/NAc, the substance would not be addicting.
43 The brain, drugs, and developmental l stages The brain s capacity to adapt to substance use is also very different depending on the individual s age in the developmental cycle. The brain is constantly changing and even more so from birth to about age 20 or 21. There are major advances in development of the higher cortical areas during adolescence and substance use prior to this last stage of major brain development has serious consequences for continued development.
44 This set of images, a composite of 33 brains during development, shows how the cortex goes through changes during adolescence. The purple color shows the replacement of gray matter in the cortex throughout development. By age 20, the brain is essentially complete in cortical development. (Science, 2002).
45 So, what about the behavioral effects? Since drug abusers and addicts do not overtly seem crazy it seems natural to expect them to wake up and quit using particularly when they have experienced major problems due to drugs. But, the areas of the brain that do self-reflection, assessment, planning, and careful listening to feedback are all damaged by substance use. Furthermore, the addict loses the ability to invent solutions to problems. The frontal lobes are greatly affected by almost all substances both short term and longer term. Thus, the very thing we are asking them to do is the one thing they will have the greatest difficulty doing. It s like asking someone with sprained ankles to run.
46 What is affected? Everything. The emotional systems of the brain are ungoverned and run rampant. The physical sensation part of the brain gets badly distorted differently for different substances. Thinking gets completely re-wired as the normal thinking areas get shut down. Everything gets oriented around feeling okay feeding the craving and getting high to feel normal again.
47 Why can t they just stop? Remember, each intoxicating substance mimics a natural chemical. The more you introduce into a brain, the more the brain tries to compensate. So, for example, when using methamphetamine, the brain in deluged with dopamine and norepinephrine. The brain tries to clear these chemicals out using enzymes that t break them down and the brain develops ways to increase production of these enzymes. Also, the nerve cells develop more receptor sits to handle the increases number of NE molecules. Thus, when the user goes cold turkey the mass of enzymes and the greatly increased number of receptor sites cause massive depletion of dopamine and norepinephrine so much so that even basic capacity is seriously affected. This is what fuels craving in the brain.
48 So, what about the implications of all this science? The neurobiology of addiction suggests a complex, genetically vulnerable condition. Brain habituation means that core vulnerabilities have also been increased due to the brain s compensatory processes. Therefore, to go cold turkey means the brain becomes like a fish on the beach. Science largely l agrees with many counselors in the field in seeing substance dependence as a disease process. Substance abuse is less clearly identifiable as a disease because it is less severe, has less clear effects on overall functioning, and can have much more diverse treatment outcomes. Clearly recovery means a long time for re-training the brain, reconditioning it to function in the absence of the imported substance.
49 The role of brain in addiction: The role of self in addiction
50 Terms The popular term addiction, captures the clinical term dependence and has been used in this presentation for that t reason. Recovery is used here to mean managing substance dependence or addiction. Recovery is something a person does, it is not what someone does for the person. Treatment may be used by someone as part of their recovery. But, as we shall see, many other things may be done by the person as part of their recovery, including closer engagement with their faith practices, using the steps of AA or NA, or re-committing to the structures of daily living.
51 The bottom line from the scientific point of view Just saying no is unrealistic. It would be comparable to telling someone with diabetes, to just get over it. Treatment may be needed and may also include medications to help the brain re-establish establish its equilibrium. In fact, some people will need long term medications to offset genetic neurochemical problems or to help the brain compensate for the lost substance. Some will need the newer generation of anti-craving medications or replacement medications such as buprenorphine. Science suggests that the idea of moral deficiency is inappropriate and stigmatizing.
52 Addiction, Dependency, Disease By whichever label one wants to approach addiction, science has basically suggested that it is a chronic condition that requires life-long long management. It can be compared to Type 2 Diabetes, chronic hypertensive disease, asthma, and obesity in that all of these conditions involve a complex of physiological and behavioral health components. The idea that one treatment episode will resolve substance abuse, let alone addiction, is unsupportable. The life course of addictive disease is punctuated t by multiple episodes of treatment, recovery activities, and relapse periods.
53 Final observations on science and addictions: i Treatment A host of evidence-based approaches has been developed. d The hard science behind these evidence-based approaches is still rather weak and has been done under very tightly controlled situations ti that t cannot be found in the real world. However, most of the evidence-based practices build from what has been learned about addiction through neuroscience. All of the identified evidence-based approaches are congruent with the neurobiological understanding of addictive disease in that all exercise the frontal lobes and induce learning about new ways of thinking and behaving.
54 What is required for recovery? An understanding of co-occurring occurring conditions Victimization Mental health problems Health problems Deprivation of capability Accessibility of providers Availability of resources Respect for even the limited autonomy Wrap-around around services and goods Patience with relapse Active use of recovery supports An understanding of a long term process An appreciation of how extraordinarily difficult recovery is
Your Brain! The brain is the command center of your body. It controls just about everything you do, even when you are sleeping. Weighing about 3 pounds, the brain is made up of many parts that all work
DEFINITIONS OF TERMS Addiction is a disease idea that states drug addiction is no different from other chronic diseases, like diabetes and heart disease, and thus needs to be treated as a distinct medical
The Addicted Brain And what you can do How does addiction happen? Addiction can happen as soon as someone uses a substance The brain releases a neurotransmitter called Dopamine into the system that makes
The Brain, Behavior, and Addiction Flo Hilliard University of Wisconsin-Madison Division of Continuing Studies Objectives Progress of science in addiction studies Why it is a brain disease Changing our
Causes of Alcohol Abuse and Alcoholism: Biological/Biochemical Perspectives Neurobehavioral Aspects of Alcohol Consumption Source: Eighth Special Report to the U.S. Congress on Alcohol and Health Secretary
Slide 1: Introduction Introduce the purpose of your presentation. Indicate that you will explain how the brain basically works and how and where drugs such as heroin and cocaine work in the brain. Tell
Substance Addiction A Chronic Brain Disease What you will Learn Addiction is a Brain Disease Understand the Structure and Pathways Associated with changes in the brain. Addiction is a Chronic Condition
American Society of Addiction Medicine Public Policy Statement: Definition of Addiction (Long Version) Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry.
THE BRAIN & DRUGS Nebraska Training on Substance Abuse Prevention Educational Service Unit 10 Building 76 Plaza Blvd., Kearney, NE 68848-0850 Tuesday, April 26th 2011 MODULE 2 1 Overview How does the brain
Counseling Center of New Smyrna Beach 265 N. Causeway New Smyrna Beach FL 32169 Ph: 386-423-9161 Fax: 386-423-3094 Addictions: Why Don t They Just Quit? By Shane Porter One of the most frustrating issues
Unit 5: How do our choices change our brains? Overview In the previous units, we learned about the neuron, synaptic transmission, and neuronal circuits. In this key culminating unit, we ll bring all of
Brain Damage & Recovery: The Resilience of the Brain, Addiction Impact & Therapeutic Repair Michael Fishman, MD Director of Young Adult Program How Addiction Takes Hold Large & rapid upsurges in dopamine
Slide 1: [Film Clip: The Brain #2- Phineas Gage] Integrated Bodily Communications Within Brain (Hemispheres and structures) The remaining Nervous System Endocrine System (Hormonal communication) Our bodies-
NEUROPHARMACOLOGY AND ADDICTION CHRISTOPHER M. JONES, PHARMD, MPH Disclosures This presentation does not represent the views of the US Public Health Service or the US Food and Drug Administration The majority
WORK DYNAMIC The final result of this session is the formulation of the questions that, within the activity of the Let s talk about drugs programme of the la Caixa Welfare Project, you will ask Dr. Rafael
DRUGS AND THE BRAIN Most of the psychological and behavioural effects of psychoactive drugs is due the interaction they have with the nerve cells in the CNS (which includes the brain and peripheral nervous
AMPHETAMINE AND COCAINE MECHANISMS AND HAZARDS BARRY J. EVERITT Department of Experimental Psychology, University of Cambridge Stimulant drugs, such as cocaine and amphetamine, interact directly with dopamine
It s All in the Brain! Presented by: Mari Hubig, M.Ed. 0-3 Outreach Coordinator Educational Resource Center on Deafness What is the Brain? The brain is a muscle In order to grow and flourish, the brain
I. General Info Integration and Coordination of the Human Body A. Both the and system are responsible for maintaining 1. Homeostasis is the process by which organisms keep internal conditions despite changes
Addiction is a Brain Disease By ALAN I. LESHNER, MD A core concept evolving with scientific advances over the past decade is that drug addiction is a brain disease that develops over time as a result of
The Limbic System Theory of Addiction The brain controls every aspect of a human being. From breathing to blinking, it runs the show. Most of how it operates, however, is on an automatic and unconscious
PRESCRIPTION DRUG ABUSE prevention Understanding Drug Addiction Many people do not understand how someone could abuse drugs even when their life seems to be falling apart. It is often assumed that those
Module 1: The Brain and the Central Nervous System (CNS) By the end of this unit, the learner will be able to: Describe the anatomy of the brain and the central nervous system Identify regions of the brain
Brain Power Counseling and Mental Health TEA COPYRIGHT Copyright Texas Education Agency, 2012. These Materials are copyrighted and trademarked as the property of the Texas Education Agency (TEA) and may
Drug Abuse and Addiction Introduction A drug is a chemical substance that can change how your body and mind work. People may abuse drugs to get high or change how they feel. Addiction is when a drug user
Addiction: Disease or Choice? Presented by Michael Coughlin RN October 18, 2012 Introduced by Melanie Willows B.Sc. M.D. C.C.F.P. C.A.S.A.M. C.C.S.A.M. Assistant Professor University Of Ottawa Clinical
Addiction Neurobiology Stephen Jurd University of Sydney Australia Richard W is sick Apology The site of pathology IF Addiction has a neurobiological basis THEN we should be able to: Define addiction AND
States of Consciousness Notes There s been a lot in the news lately about the new Peace Palace they re building in West L.A., for people to come and meditate and not just Hollywood people! Consciousness
An Upstream Approach to Improving Psychological Wellbeing Dr Brian Marien Founder and Director of Positive Health Strategies firstname.lastname@example.org www.positivegroup.org Prevention or cure? Zola,
How are Parts of the Brain Related to Brain Function? Scientists have found That the basic anatomical components of brain function are related to brain size and shape. The brain is composed of two hemispheres.
ARTICLE #1 PLEASE RETURN AT THE END OF THE HOUR Alcoholism By Mayo Clinic staff Original Article: http://www.mayoclinic.com/health/alcoholism/ds00340 Definition Alcoholism is a chronic and often progressive
Lecture One: Brain Basics Brain Fractured Femur Bone Spinal Cord 1 How does pain get from here to here 2 How does the brain work? Every cell in your body is wired to send a signal to your brain The brain
Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call the
Wendy Richardson, MA, MFT, CAS AddandAddiction.com (831) 479-4742 3121 Park Ave. Suit F Soquel, CA. 95073 Adolescents ADHD and Addiction Looking Down at the Problem AD/HD symptoms! Problems focusing attention!
SPIRITUALITY S ROLE IN ADDICTION RECOVERY DEFINITION OF DISEASE AMERICAN SOCIETY ADDICTION MEDICINE-ADDICTION IS A PRIMARY, CHRONIC DISEASE OF THE BRAIN REWARD, MEMORY, MOTIVATION AND RELATED CIRCUITS.
Understanding Addiction: The Intersection of Biology and Psychology Robert Heimer, Ph.D. Yale University School of Public Health Center for Interdisciplinary Research on AIDS New Haven, CT, USA November
DrugFacts: Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please
Chapter Fourteen Emotion, Reward, Aggression, and Stress EMOTIONS! Emotions generally include a Physical component, and a Subjective component or quality, and a Valence Emotions a product of Evolution?
Terrence D. Walton, MSW, CSAC Director of Treatment Pretrial Services Agency for the District of Columbia Terrencewalton@aol.com 1. Legal & Illicit it 1. Stimulants t 2. Street Drugs and Prescribed Drugs
12 Steps to Changing Neuropathways Julie Denton Review the neurobiology of the brain Understand the basics of neurological damage to the brain from addiction Understand how medications and psychotherapy
Dr. Joseph Frascella WHY YOU CAN T JUST SAY NO : Combatting Drug Addiction is Harder Than You Might Think The frontal areas of the young brain develop last. Those do the more executive function the inhibitory
Methamphetamine Introduction Methamphetamine is a very addictive stimulant drug. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she
The Science of Addiction: Why it s a bad idea to turn to drugs in times of stress Regina M. Carelli, PhD Stephen B. Baxter Distinguished Professor Department of Psychology & Neuroscience The University
Addiction: Learned Behaviour or a Disease? 1 Addiction: Learned Behaviour or a Disease? By Ben Moller Over the last two hundred years or so, medical doctors, addiction counsellors, psychiatrists, psychologists
Drugs, The Brain, and Behavior John Nyby Department of Biological Sciences Lehigh University What is a drug? Difficult to define Know it when you see it Neuroactive vs Non-Neuroactive drugs Two major categories
Health Information Sheet What is depression? Depression -- How Medicine Can Help Depression is a medical illness like diabetes or high blood pressure. It affects about 17% of people at some time in their
NEURON AND NEURAL TRAMSMISSION: ANATOMY OF A NEURON NEURON AND NEURAL TRAMSMISSION: MICROSCOPIC VIEW OF NEURONS A photograph taken through a light microscope (500x) of neurons in the spinal cord. NEURON
Drugs and Teens: Current Facts and Recent Trends Cheryl Houtekamer Youth Addiction Services Calgary Agenda Adolescent Development Brain Development Adolescent Substance Use - Prevalence How does addiction
Cocaine Introduction Cocaine is a powerful drug that stimulates the brain. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she wants
Integrated System of Care Universal Dual Diagnosis Capabilities Principles of Empathy and Hope Motivational Interviewing Approach Stages of Change Model Design Solution Focused Strength Based Skill Building
Alcohol and Brain Damage By: James L. Holly, MD O God, that men should put an enemy in their mouths to steal away their brains! That we should, with joy, pleasance, revel, and applause, transform ourselves
Understanding Addiction: Squirrel Logic Brad Lander PhD, LICDC Clinical Director / Psychologist Talbot Hall Addiction Medicine at The Ohio State University Wexner Medical Center Addiction Lack of ability
SC 215 FIGHTING DRUG ADDICTION WITH DRUGS John Bush April 15, 2013 ADDICTION A persistent, compulsive dependence on a behavior or substance Behavioral Compulsive shopping --Compulsive eating Compulsive
Rollercoaster Highs: Substance Abuse and Adolescence Naomi Weinstein, MPH Center on Addiction and the Family Phoenix House 646-505-2061 email@example.com What is Adolescence? Period of time between
Tolerance and Dependence Drug Tolerance is a decrease in the effect of a drug as a consequence of repeated exposure. Change over repeated exposures. Different effects may show different tolerance. Tolerance
by Ellen Poliakoff and Sally Bee Illustrations by Serena Korda BRAIN storming The 1990 s was hailed as the decade of the brain. We ask, what do we really know about the elusive workings of the grey matter
Identifying and Treating Dual-Diagnosed Substance Use and Mental Health Disorders Presented by: Carrie Terrill, LCDC Overview What is Dual Diagnosis? How Common is Dual Diagnosis? What are Substance Use
Brain Development Presented by: Linda Alsop SKI-HI Institute Utah State University Genetic make-up... is not the major determiner Early experiences are so powerful that they can completely change the way
How do we approach addiction? ADDICTION 101 A basic primer on addiction If the only tool you have is a hammer, you tend to see every problem as a nail. (Abraham Maslow) Definition of addiction Alcoholism
CNA Webinar Series: Progress in Practice The latest in addiction medicine: What every nurse needs to know Monica Gregory Nurse Practitioner, Crosstown Clinic December 4, 2014 Canadian Nurses Association,
Drug addiction You may be hooked emotionally and psychologically. You may have a physical dependence, too. If you're addicted to a drug whether it's legal or illegal you have intense cravings for it. You
Identification, treatment and support for individuals with Alcohol & Drug Addiction in the Community Dr David Jackson Clinic Medical Officer The Hobart Clinic Association Drugs In tonight s context, drugs
Naltrexone and Alcoholism Treatment Test Following your reading of the course material found in TIP No. 28. Please read the following statements and indicate the correct answer on the answer sheet. A score
The High is a Lie Teacher s Guide The High is a Lie Teacher s Guide The most potent form of methamphetamine is called ICE The High is a Lie is produced by a physician, Dr. Mary F. Holley, Director of Mothers
WOMEN AND ADDICTION RECOVERY & HORMONAL SHIFTS HANLEY CENTER, INC. CENTER FOR WOMEN S RECOVERY Presented by: Jeannie Provost Program Manager 561-841-1000 firstname.lastname@example.org OBJECTIVES OBJECTIVES
Alcoholism In The Office SCOTT PAIST, III, M. D. The Dopaminergic Mesolimbic System PFC= Prefrontal Cortex NA=Nucleus Accumbens VTA= Ventral Tegemntal Area A = Amygdala C = Caudate Nucleus The Limbic System
Sarah Akerman MD Assistant Professor of Psychiatry Director of Addiction Services Geisel School of Medicine/Dartmouth-Hitchcock Medical Center OVERVIEW OF MEDICATION ASSISTED TREATMENT Conflicts of Interest
Section 15 IMAGES OF ALCOHOL AND DRUG ABUSE Brain Pollution and the Real Reason You Shouldn t Use Studying the effects of drugs and alcohol on the brain has clearly been one of the most informative and
Welcome. This presentation is for you to read and to use in your prevention work. We hope you will review it, learn from it and feel comfortable using it in presentations to colleagues that work in prevention,
1 of 6 6/3/2014 10:15 AM Return to Web version Depression Overview What is depression? When doctors talk about depression, they mean the medical illness called major depression. Someone who has major depression
Development of Chemical Dependency in Adolescents & Young Adults How to recognize the symptoms, the impact on families, and early recovery Tim Portinga, PsyD, LP, Mental Health Clinic Supervisor Tim Portinga
Part 3 The Anti- Reward System of the Adolescent Brain and Genetics Dr. Merrill Norton Pharm.D.,D.Ph.,ICCDP- D Clinical Associate Professor University of Georgia College of Pharmacy Athens, Georgia email@example.com
WebQuest: Neurotransmitters, Cravings & Addiction By: Sandra R. Holmes (page 1 of 18 ) Objectives: 1.) The student will be able to explain the structure and the function of each part of the neuron. 2.)
B6 Brain & Mind B6 Key Questions How do animals respond to changes in their environment? How is information passed through the nervous system? What can we learn through conditioning? How do humans develop
Name Class Date 31.1 The Neuron Lesson Objectives Identify the functions of the nervous system. Describe the function of neurons. Describe how a nerve impulse is transmitted. BUILD Vocabulary A. The chart
DRUGS, BRAINS, AND BEHAVIOR DRUGS, BRAINS, AND BEHAVIOR THE SCIENCE OF ADDICTION ADDICTION National Institutes of Health U.S. Department of Health and Human Services This publication is in the public domain
Kylie Morphett Smokers understandings of nicotine addiction: A qualitative study. Why smoking? High prevalence Smoking is the largest preventable cause of disease in Australia Tobacco causes many serious
UNDERSTANDING CO-OCCURRING DISORDERS Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015 CO-OCCURRING DISORDERS What does it really mean CO-OCCURRING
Emerging Trends in Addiction Treatment 1.0 CE NBCC, NAADAC, FCB Dr. Doug Davies, MD, ASAM Medical Director The Refuge A Healing Place, Ocklawaha, FL 14835 SE 85 th Street Ocklawaha, FL 32179 www.therefuge
The Real Secret RITA SOMAN 94Tathaastu PSYCH-K a new approach to changing your life! You've done the talk therapy. You've done affirmations, positive thinking, and read all the self-help books. Will power
A Lawyer s Antidote to Self- Destructive Habits: Substances and Other Abuses Mark s Relevant Background Trial lawyer for 25+ years Teaching at UT Law for 11 years JD, UT; MA in Counseling Psychology Formerly