Conditioned place preference (CPP) paradigm

Size: px
Start display at page:

Download "Conditioned place preference (CPP) paradigm"

Transcription

1 Conditioned place preference (CPP) paradigm 성균관약대장춘곤

2 Drugs of Abuse Dependence ( 의존성 ) Psychological dependence is the compulsion to repeatedly take a drug for personal satisfaction. - craving, drug-seeking behavior - experimental method: conditioned place preference, self- administration Physical dependence is present when withdrawal of the drug produces symptoms and signs that are frequently the opposite of those sought by the user - withdrawal syndrome Tolerance ( 내성 ) Metabolic Tolerance Behavioral Tolerance- compensatory changes for the drug s effects Functional Tolerance- compensatory changes in receptors Reward ( 보상 ) Reinforcement ( 강화 ) Addiction ( 중독 )

3 Stages of addiction to drugs of abuse Acute Reinforcement / Social Drug-Taking Escalating / Compulsive Use Binge Drinking Genetic variables Environmental factors Stress Conditioning effects Dependence Withdrawal Relapse Protracted Withdrawal Recovery?

4 Integrative model of brain and behavior of drugs of abuse Drug Reinforcement (Salience Attribution) Reward circuits (ventral tegmental area, nucleus accumbens) Reward circuits (anterior cingulate, prefrontal cortex) Withdrawal ADDICTION Memory (hippocampus) Conditioned response (amygdala) Binging (Loss of Control) Reward circuits (ventral tegmental area, nucleus accumbens) Top-down control (frontal cortex) Craving (Drug Expectation) (cingulate gyrus, prefrontal cortex, orbitofrontal cortex)

5 Stages of impulse control disorder and compulsive disorder cycles

6 Introduction 1 The conditioned place preference (CPP) paradigm is a standard preclinical behavioral model used to study the rewarding and aversive effects of drugs. Although a number of different designs and apparatuses are used in this model, the basic characteristics of this task involve the association of a particular environment with drug treatment, followed by the association of a different environment with the absence of the drug (i.e., the drug s vehicle).

7 Introduction 2 A conditioned place preference (CPP) : The animals spend significantly more time in the drug-paired compartment versus the vehicle-paired compartment. Ex) Drugs of abuse, such as cocaine conditioned place aversion (CPA) : The animals spend significantly more time in the vehicle-paired compartment versus the drug-paired compartment Ex)Drugs elicit aversive effects, such as lithium chloride The behavioral effects of drugs used in the CPP paradigm depend on species, strain, route of administration, time interval of drug administration, dose concentration, and the CPP apparatus used. Many drugs of abuse produce both CPP and CPA, depending on the dose administered.

8 Introduction 3 Because the CPP paradigm generally provides a reliable indicator for studying the rewarding effects of drugs that require relatively little training compared to self-administration paradigm, the CPP paradigm has been commonly used in conjunction with standard neuroscience techniques to elucidate the subjective effects of drugs

9 Common Neuroscience Techniques Used in CPP Technique Example References Lesioning - Spyraki C, Fibiger HC, Phillips AG. Cocaine-induced place preference conditioning: Lack of effects of neuroleptics and 6-hydroxydopamine lesions. Brain Res. 1982; 253: Knockout mice - Marquez P, Baliram R, Kieffer BL, Lutfy K. The mu opioid receptor is involved in buprenorphineinduced locomotor stimulation and conditioned place preference. Neuropharmacology. 2007; 52: Microdialysis - Duvauchelle CL, Ikegami A, Asami S, Robens J, Kressin K, Castaneda E. Effects of cocaine context on NAcc dopamine and behavioral activity after repeated intravenous cocaine administration. Brain Res. 2000; 862: Microinfusion - van der Kooy D, Mucha RF, O Shaughnessy M, Bucenieks P. Reinforcing effects of brain microinjections of morphine revealed by conditioned place preference. Brain Res. 1982; 243: Neurotransmitter depletion - Ventura R, Cabib S, Alcaro A, Orsini C, Puglisi-Allegra S. Norepinephrine in the prefrontal cortex is critical for amphetamine-induced reward and mesoaccumbens dopamine release. J Neurosci. 2003; 23: Strain comparisons - Philibin SD, Vann RE, Varvel SA. et al. Differential behavioral responses to nicotine in Lewis and Fischer-344 rats. Pharmacol Biochem Behav. 2005; 80:

10 Research Design and Methodological considerations

11 CPP Box 1 SPATIAL PLACE PREFERENCE BOX from Panlab Harvard apparatus

12 CPP Box 2 Standard two- (left) and three-chamber (right) shuttle boxes used to stud conditioned place preference in rodents. From Med-Associates, Inc.,

13

14

15 Conditioned Place Preference (CPP) Paradigm PRE-TESTING PHASE DAY 1 Pre-exposure DAY 2 Pre-test (baseline) (Drug free) CONDITIONING PHASE DAYS 3, 5, 7, 9 Drug injection DAYS 4, 6, 8, 10 Saline injection TESTING PHASE DAY 11 Test (Drug free)

16 CPP Method 1

17 CPP Method 2 Date Period Drug Time Remark Day 1 Pre conditioning Nothing 15 min Free assess all boxes Day 2 Pre testing Nothing 15 min Measure the amount of time spent in each chamber (Baseline) Day 3 A group : Drug treat ment 30 min White compartment Day 4 B group: Saline 30 min Black compartment Day 5 B group: Drug treat ment 30 min White compartment Day 6 A group: Saline 30 min Black compartment Conditioning A group: Drug treat Day 7 30 min White compartment ment Day 8 B group: Saline 30 min Black compartment Day 9 B group: Drug treat ment 30 min White compartment Day 10 A group: Saline 30 min Black compartment Measure the amount of

18 Drug studies using the CPP Paradigm Psychostimulants and opiates reliably produce a CPP - Cocaine, Amphetamine, Nicotine - Morphine, Heroin, Buprenorphine, - CNS depressants Ethanol, diazepam - Cannabinoid receptor agonist delta-9- tetrahydrocannabinal (THC) - Adrenoceptor agonist clonidine. Many of these compounds also produce CPA, depending on the dose administered. -Nicotine produces CPP in rats that are administered doses between 0.4 and 0.8 mg/kg., whereas higher doses are reported to produce CPA. Similar findings have been shown with other drugs, such as morphine and the psychostimulant apomorphine.

19 In situ hybridization images of NMDAR subunit mrna NR1 NR2A NR2B NR2C

20 Morphine Conditioned Place Preference 250 Place preference (sec) ** # -50 SAL MK 0.1 SAL MK 0.05 MK 0.1 SAL Morphine 5

21 Cocaine Conditioned Place Preference ** Place preference (sec) # -50 SAL MK 0.1 SAL MK 0.05 MK 0.1 SAL Cocaine 15

22 Methamphetamine Conditioned Place Preference Place preference (sec) ** # -50 SAL MK 0.1 SAL MK 0.05 MK 0.1 SAL Methamphetamine 2

23 Comparison of CPP and Self-Administration

24 Summary The CPP paradigm is a useful tool for studying the affective properties of drugs, and is routinely used in concert with standard research techniques in neuroscience. Most drugs of abuse elicit a CPP in rats and mice, and the neural substrates of these effects can often be traced to the mesolimbic DA system. Alternative models for assessing the rewarding effects of drugs (e.g., self-administration) do not always produce similar results, and therefore, researchers should be careful when evaluating results based on the behavioral model they are using in their study

Brain Damage & Recovery: The Resilience of the Brain, Addiction Impact & Therapeutic Repair. Michael Fishman, MD Director of Young Adult Program

Brain Damage & Recovery: The Resilience of the Brain, Addiction Impact & Therapeutic Repair. Michael Fishman, MD Director of Young Adult Program 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

More information

Tolerance and Dependence

Tolerance and Dependence 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

More information

Causes of Alcohol Abuse and Alcoholism: Biological/Biochemical Perspectives

Causes of Alcohol Abuse and Alcoholism: Biological/Biochemical Perspectives 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

More information

AMPHETAMINE AND COCAINE MECHANISMS AND HAZARDS

AMPHETAMINE AND COCAINE MECHANISMS AND HAZARDS 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

More information

Introduction to Tolerance, Physical Dependence and Withdrawal

Introduction to Tolerance, Physical Dependence and Withdrawal Introduction to Tolerance, Physical Dependence and Withdrawal Carrie G Markgraf, MD, PhD Safety Assessment Merck Research Laboratories 1 Overview Definitions Addiction, psychological dependence, physical

More information

The Addicted Brain. And what you can do

The Addicted Brain. And what you can do 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

More information

Overview. Unit 5: How do our choices change our brains?

Overview. Unit 5: How do our choices change our brains? 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

More information

NEUROPHARMACOLOGY AND ADDICTION CHRISTOPHER M. JONES, PHARMD, MPH

NEUROPHARMACOLOGY AND ADDICTION CHRISTOPHER M. JONES, PHARMD, MPH 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

More information

substance abuse and addiction are complex phenomena

substance abuse and addiction are complex phenomena Executive Summary 1 substance abuse and addiction are complex phenomena that defy simple explanation or description. A tangled interaction of factors contributes to an individual s seeking out, using,

More information

The latest in addiction medicine: What every nurse needs to know

The latest in addiction medicine: What every nurse needs to know 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,

More information

Drugs, The Brain, and Behavior

Drugs, The Brain, and Behavior 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

More information

Identification, treatment and support for individuals with Alcohol & Drug Addiction in the Community

Identification, treatment and support for individuals with Alcohol & Drug Addiction in the Community 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

More information

WHAT HAPPENS TO OUR BRAIN?

WHAT HAPPENS TO OUR BRAIN? 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

More information

NEUROBIOLOGY OF CANNABIS ADDICTION Part I

NEUROBIOLOGY OF CANNABIS ADDICTION Part I NEURBILGY F CANNABIS ADDICTIN Part I 1. Definition and mechanism of action of cannabinoids 2. Addictive potential of cannabinoids and mechanisms involved 3. Cognitive effects of cannabinoids and mechanisms

More information

similar to other psychoactive drugs, drugs of abuse alter the

similar to other psychoactive drugs, drugs of abuse alter the Basic Concepts 2 similar to other psychoactive drugs, drugs of abuse alter the brain s normal balance and level of biochemical activity. This can include mimicking the action of naturally occurring neurotransmitters

More information

EPIDEMIC 4.6 % OF INDIVIDUALS 18 25 USED PAIN RELIEVERS FOR NON-MEDICAL REASONS. 1.5 MILLION YOUNG ADULTS USED PAIN RELIEVERS IN THE PAST MONTH.

EPIDEMIC 4.6 % OF INDIVIDUALS 18 25 USED PAIN RELIEVERS FOR NON-MEDICAL REASONS. 1.5 MILLION YOUNG ADULTS USED PAIN RELIEVERS IN THE PAST MONTH. Drug Court EPIDEMIC In the 10 years (1997 2007) the per capita retail purchases of Methadone, Hydrocodone and Oxycodone in the United States increased 13-fold, 4-fold and 9-fold, respectively. 4.6 % OF

More information

Slide 1: Introduction Introduce the purpose of your presentation. Indicate that you will explain how the brain basically works and how and where

Slide 1: Introduction Introduce the purpose of your presentation. Indicate that you will explain how the brain basically works and how and where 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

More information

Prevention & Recovery Conference November 28, 29 & 30 Norman, Ok

Prevention & Recovery Conference November 28, 29 & 30 Norman, Ok Prevention & Recovery Conference November 28, 29 & 30 Norman, Ok What is Addiction? The American Society of Addiction Medicine (ASAM) released on August 15, 2011 their latest definition of addiction:

More information

Scientific Facts on. Psychoactive Drugs. Tobacco, Alcohol, and Illicit Substances

Scientific Facts on. Psychoactive Drugs. Tobacco, Alcohol, and Illicit Substances page 1/5 Scientific Facts on Psychoactive Drugs Tobacco, Alcohol, and Illicit Substances Source document: WHO (2004) Summary & Details: GreenFacts Context - Psychoactive drugs such as tobacco, alcohol,

More information

Treatment of Opioid Dependence with Buprenorphine/Naloxone (Suboxone )

Treatment of Opioid Dependence with Buprenorphine/Naloxone (Suboxone ) Treatment of Opioid Dependence with Buprenorphine/Naloxone (Suboxone ) Elinore F. McCance-Katz, M.D., Ph.D. Professor and Chair, Addiction Psychiatry Virginia Commonwealth University Neurobiology of Opiate

More information

1. According to recent US national estimates, which of the following substances is associated

1. According to recent US national estimates, which of the following substances is associated 1 Chapter 36. Substance-Related, Self-Assessment Questions 1. According to recent US national estimates, which of the following substances is associated with the highest incidence of new drug initiates

More information

DrugFacts: Treatment Approaches for Drug Addiction

DrugFacts: Treatment Approaches for Drug Addiction 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

More information

Understanding Addiction: The Intersection of Biology and Psychology

Understanding Addiction: The Intersection of Biology and Psychology 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

More information

Chapter 9: Drug Abuse and Addiction

Chapter 9: Drug Abuse and Addiction Chapter 9: Drug Abuse and Addiction Drug use and abuse- some history Drug addiction: Defining terms Physical dependence/ drug withdrawal Factors that influence development and maintenance of drug addiction

More information

DSM-IV Alcohol Dependence. Alcohol and Drug Abuse. Screening for Alcohol Risk. DSM-IV Alcohol Abuse

DSM-IV Alcohol Dependence. Alcohol and Drug Abuse. Screening for Alcohol Risk. DSM-IV Alcohol Abuse DSM-IV Alcohol Dependence Alcohol and Drug Abuse David Gilder, MD Division of Mental Health Scripps Clinic Alcohol Research Center The Scripps Research Institute 1.5.11 Three or more criteria, same 12

More information

Drug Abuse and Addiction

Drug Abuse and Addiction Drug Abuse and Addiction L E S S O N 4 Explain/Elaborate Photo: Corel Overview Students examine data from animal experiments, play a card game, and examine a case study. They learn that although the initial

More information

Objectives. Addiction. Some terms. Some terms. Hierarchy of brain function 9/23/2011 PREGNANCY IN WOMEN WITH SUBSTANCE ABUSE: A DOORWAY TO CHANGE

Objectives. Addiction. Some terms. Some terms. Hierarchy of brain function 9/23/2011 PREGNANCY IN WOMEN WITH SUBSTANCE ABUSE: A DOORWAY TO CHANGE Objectives PREGNANCY IN WOMEN WITH SUBSTANCE ABUSE: A DOORWAY TO CHANGE Discuss the physiology of addiction Identify barriers to care for women with substance dependence Develop techniques to encourage

More information

The Neurobiology of Addiction. An Overview

The Neurobiology of Addiction. An Overview The Neurobiology of Addiction An Overview AMANDA J. ROBERTS, PH.D., AND GEORGE F. KOOB, PH.D. Addiction can be defined in part as a compulsion to use alcohol or other drugs and the occurrence of withdrawal

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction 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

More information

a. positive vs. negative reinforcement b. tolerance vs. sensitization c. drug classes einforcement

a. positive vs. negative reinforcement b. tolerance vs. sensitization c. drug classes einforcement Drug Abuse (chapter 18) 1. Definitions iti a. positive vs. negative reinforcement b. tolerance vs. sensitization c. drug classes 2. Neural Mechanisms of Re einforcement a. mesolimbic dopamine system b.

More information

The Neuropharmacology of Drugs of Abuse 3

The Neuropharmacology of Drugs of Abuse 3 The Neuropharmacology of Drugs of Abuse 3 rugs of abuse interact with the neurochemical mechanisms of the brain. Some of these interactions are directly related to the reinforcing properties of a drug,

More information

Alcoholism In The Office SCOTT PAIST, III, M. D.

Alcoholism In The Office SCOTT PAIST, III, M. D. 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

More information

Addiction Neurobiology

Addiction Neurobiology 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

More information

Development of pharmacotherapies for drug addiction: a Rosetta Stone approach

Development of pharmacotherapies for drug addiction: a Rosetta Stone approach Development of pharmacotherapies for drug addiction: a Rosetta Stone approach George F. Koob*, G. Kenneth Lloyd and Barbara J. Mason* Abstract Current pharmacotherapies for addiction represent opportunities

More information

RECENT ADVANCES IN ANIMAL MODELS OF DRUG ADDICTION

RECENT ADVANCES IN ANIMAL MODELS OF DRUG ADDICTION 97 RECENT ADVANCES IN ANIMAL MODELS OF DRUG ADDICTION TONI S. SHIPPENBERG GEORGE F. KOOB DEFINITIONS AND VALIDATION OF ANIMAL MODELS Definitions of Drug Addiction Drug addiction is defined as a compulsion

More information

American Society of Addiction Medicine

American Society of Addiction Medicine 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.

More information

SC 215 FIGHTING DRUG ADDICTION WITH DRUGS. John Bush April 15, 2013

SC 215 FIGHTING DRUG ADDICTION WITH DRUGS. John Bush April 15, 2013 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

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction 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

More information

THE BRAIN & DRUGS. Nebraska Training on Substance Abuse Prevention

THE BRAIN & DRUGS. Nebraska Training on Substance Abuse Prevention 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

More information

Dependence and Addiction. Marek C. Chawarski, Ph.D. Yale University David Metzger, Ph.D. University of Pennsylvania

Dependence and Addiction. Marek C. Chawarski, Ph.D. Yale University David Metzger, Ph.D. University of Pennsylvania Dependence and Addiction Marek C. Chawarski, Ph.D. Yale University David Metzger, Ph.D. University of Pennsylvania Overview Heroin and other opiates The disease of heroin addiction or dependence Effective

More information

OVERVIEW OF MEDICATION ASSISTED TREATMENT

OVERVIEW OF MEDICATION ASSISTED TREATMENT 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

More information

The Brain, Behavior, and Addiction. Objectives. Advances in science have revolutionized our fundamental views of drug abuse and addiction.

The Brain, Behavior, and Addiction. Objectives. Advances in science have revolutionized our fundamental views of drug abuse and addiction. 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

More information

Neurobiology and Treatment of Opioid Dependence. Nebraska MAT Training September 29, 2011

Neurobiology and Treatment of Opioid Dependence. Nebraska MAT Training September 29, 2011 Neurobiology and Treatment of Opioid Dependence Nebraska MAT Training September 29, 2011 Top 5 primary illegal drugs for persons age 18 29 entering treatment, % 30 25 20 15 10 Heroin or Prescription Opioids

More information

Hilary J. Little, Ph.D.

Hilary J. Little, Ph.D. Behavioral Mechanisms Underlying the Link Between Smoking and Drinking Hilary J. Little, Ph.D. Many people use both alcohol and nicotine (i.e., cigarettes and other tobacco products). The behavioral effects

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction 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 1-800-662-HELP(4357)

More information

The Science of Addiction:

The Science of Addiction: 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

More information

CANNABIDIOL AND ADDICTION

CANNABIDIOL AND ADDICTION CANNABIDIOL AND ADDICTION Cannabidiol as an Intervention for Addictive Behaviors: A Systematic Review of the Evidence Mélissa Prud homme, Romulus Cata, and Didier Jutras-Aswad http://www.ncbi.nlm.nih.gov/pmc/articles/pmc4444130/

More information

Assessment and Diagnosis of DSM-5 Substance-Related Disorders

Assessment and Diagnosis of DSM-5 Substance-Related Disorders Assessment and Diagnosis of DSM-5 Substance-Related Disorders Jason H. King, PhD (listed on p. 914 of DSM-5 as a Collaborative Investigator) j.king@lecutah.com or 801-404-8733 www.lecutah.com D I S C L

More information

ANIMATED NEUROSCIENCE

ANIMATED NEUROSCIENCE ANIMATED NEUROSCIENCE and the Action of Nicotine, Cocaine, and Marijuana in the Brain Te a c h e r s G u i d e Films for the Humanities & Sciences Background Information This program, made entirely of

More information

The Cranium Connection

The Cranium Connection 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

More information

Robert Walker, M.S.W., L.C.S.W., Assistant Professor University of Kentucky

Robert Walker, M.S.W., L.C.S.W., Assistant Professor University of Kentucky The Neuroscience of Addiction Robert Walker, M.S.W., L.C.S.W., Assistant Professor University of Kentucky Center on Drug and Alcohol Research Why do we need the science on addiction i for community projects?

More information

opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380

opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 ed #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 effects of alcohol in the brain 100 Top 30 698 heroin addiction 100

More information

Addicted. The. White lines on a mirror. A needle and spoon. For many users, the sight of

Addicted. The. White lines on a mirror. A needle and spoon. For many users, the sight of The Addicted Drug abuse produces long-term changes in the reward circuitry of the brain. Knowledge of the cellular and molecular details of these adaptations could lead to new treatments for the compulsive

More information

OVERVIEW OF COGNITIVE BEHAVIORAL THERAPY. 1 Overview of Cognitive Behavioral Therapy

OVERVIEW OF COGNITIVE BEHAVIORAL THERAPY. 1 Overview of Cognitive Behavioral Therapy OVERVIEW OF COGNITIVE BEHAVIORAL THERAPY 1 Overview of Cognitive Behavioral Therapy TABLE OF CONTENTS Introduction 3 What is Cognitive-Behavioral Therapy? 4 CBT is an Effective Therapy 7 Addictions Treated

More information

Drug Discovery for the Treatment of Addiction. Medicinal Chemistry Strategies

Drug Discovery for the Treatment of Addiction. Medicinal Chemistry Strategies Brochure More information from http://www.researchandmarkets.com/reports/2827009/ Drug Discovery for the Treatment of Addiction. Medicinal Chemistry Strategies Description: With addiction a key target

More information

The Results of a Pilot of Vivitrol: A Medication Assisted Treatment for Alcohol and Opioid Addiction

The Results of a Pilot of Vivitrol: A Medication Assisted Treatment for Alcohol and Opioid Addiction The Results of a Pilot of Vivitrol: A Medication Assisted Treatment for Alcohol and Opioid Addiction James H. Barger, MD SAPC Medical Director and Science Officer Desiree A. Crevecoeur-MacPhail, Ph.D.

More information

Using Drugs to Treat Drug Addiction How it works and why it makes sense

Using Drugs to Treat Drug Addiction How it works and why it makes sense Using Drugs to Treat Drug Addiction How it works and why it makes sense Jeff Baxter, MD University of Massachusetts Medical School May 17, 2011 Objectives Biological basis of addiction Is addiction a chronic

More information

Developing Medications to Treat Addiction: Implications for Policy and Practice. Nora D. Volkow, M.D. Director National Institute on Drug Abuse

Developing Medications to Treat Addiction: Implications for Policy and Practice. Nora D. Volkow, M.D. Director National Institute on Drug Abuse Developing Medications to Treat Addiction: Implications for Policy and Practice Nora D. Volkow, M.D. Director National Institute on Drug Abuse Medications Currently Available For Nicotine Addiction Nicotine

More information

Neurobiology and pharmacology of psychostimulants

Neurobiology and pharmacology of psychostimulants Department of Toxicology,University of Cagliari ; Institute of Neuroscience,CNR Centre for Studies on the Neurobiology of Dependence, MURST Neurobiology and pharmacology of psychostimulants Gaetano Di

More information

PRESCRIPTION DRUG ABUSE prevention

PRESCRIPTION DRUG ABUSE prevention 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

More information

Addiction, OCD, & riding a bike: how opiates control your brain

Addiction, OCD, & riding a bike: how opiates control your brain Addiction, OCD, & riding a bike: how opiates control your brain Shay Neufeld PhD candidate, neuroscience April 22nd, 2015 1. What are opiates? what you are in for 2. Where is opiate addiction in the brain?

More information

Alcoholism, Drug Addiction, and the Road to Recovery

Alcoholism, Drug Addiction, and the Road to Recovery Alcoholism, Drug Addiction, and the Road to Recovery Life on the Edge Barry Stimmel, MD The Haworth Medical Press An Imprint of The Haworth Press, Inc. New York London Oxford CONTENTS Preface Acknowledgments

More information

Managing Chronic Pain in Adults with Substance Use Disorders

Managing Chronic Pain in Adults with Substance Use Disorders Question from chapter 1 Managing Chronic Pain in Adults with Substance Use Disorders 1) What is the percent of chronic pain patients who may have addictive disorders? a) 12% b) 22% c) 32% d) 42% 2) Which

More information

Addictions: Why Don t They Just Quit?

Addictions: Why Don t They Just Quit? 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

More information

Drug addiction. These factors increase the likelihood of your having an addiction to a legal or an illegal drug:

Drug addiction. These factors increase the likelihood of your having an addiction to a legal or an illegal drug: 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

More information

Neurobiology of Reward and Addiction in the Vulnerable Brain. Alan I. Green, M.D. May 1, 2009

Neurobiology of Reward and Addiction in the Vulnerable Brain. Alan I. Green, M.D. May 1, 2009 Neurobiology of Reward and Addiction in the Vulnerable Brain Alan I. Green, M.D. May 1, 2009 DSM-IV Substance Abuse Maladaptive pattern of substance use leading to significant impairment distress, as indicated

More information

Age-related differences in cocaine place conditioning and cocaine-induced dopamine

Age-related differences in cocaine place conditioning and cocaine-induced dopamine University of South Florida Scholar Commons Graduate Theses and Dissertations Graduate School 2005 Age-related differences in cocaine place conditioning and cocaine-induced dopamine Kimberly A. Badanich

More information

Update and Review of Medication Assisted Treatments

Update and Review of Medication Assisted Treatments Update and Review of Medication Assisted Treatments for Opiate and Alcohol Use Disorders Richard N. Whitney, MD Medical Director Addiction Services Shepherd Hill Newark, Ohio Medication Assisted Treatment

More information

Advances in Drug Abuse and Addiction Research from NIDA: Implications for Treatment

Advances in Drug Abuse and Addiction Research from NIDA: Implications for Treatment Advances in Drug Abuse and Addiction Research from NIDA: Implications for Treatment Gaya J. Dowling, Ph.D. Acting Chief, Science Policy Branch Office of Science Policy and Communications National Institute

More information

MAT Counselor Education Course Exam Questions Packet Part 1

MAT Counselor Education Course Exam Questions Packet Part 1 MAT Counselor Education Course Exam Questions Packet Part 1 Course No: Course Title: Course Objective: MA-1901P1 Medication-Assisted Treatment (MAT) Counselor Education Course Part 1 Includes primer on

More information

Use of Vivitrol for Alcohol and Opioid Addiction

Use of Vivitrol for Alcohol and Opioid Addiction Use of Vivitrol for Alcohol and Opioid Addiction Ken Bachrach, Ph.D. Clinical Director, Tarzana Treatment Centers, Inc. kbachrach@tarzanatc.org What is Vivitrol? An injectable from of naltrexone, which

More information

Effect of exercise on aversion to acute opioid withdrawal in mice

Effect of exercise on aversion to acute opioid withdrawal in mice Effect of exercise on aversion to acute opioid withdrawal in mice Kristina Ann Wihbey Department of Biological Foundations of Behavior Dr. Charles Heyser BFB 490 Departmental Honors April 19, 2007 Graduation

More information

Activation neuroimaging studies - GABA receptor function - alcohol cues in alcoholism

Activation neuroimaging studies - GABA receptor function - alcohol cues in alcoholism Activation neuroimaging studies - GABA receptor function A - alcohol cues in alcoholism Professor David Nutt Psychopharmacology Unit, University of Bristol. MRC Clinical Sciences Centre, London. Study

More information

Drugs of abuse (including alcohol)

Drugs of abuse (including alcohol) Addiction: Beyond dopamine reward circuitry Nora D. Volkow a,b,1, Gene-Jack Wang c, Joanna S. Fowler c, Dardo Tomasi b, and Frank Telang b a National Institute on Drug Abuse, National Institutes of Health,

More information

The Future of Treating Alcoholism: Framing the Key Research Questions

The Future of Treating Alcoholism: Framing the Key Research Questions The Future of Treating Alcoholism: Framing the Key Research Questions Kathleen A. Grant, Ph.D. President, Research Society on Alcoholism A Society of basic, clinical and translation researchers committed

More information

Substance Addiction. A Chronic Brain Disease

Substance Addiction. A Chronic Brain Disease 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

More information

LESSON 5.7 WORKBOOK Is addiction a chronic disease?

LESSON 5.7 WORKBOOK Is addiction a chronic disease? 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

More information

Medication-Assisted Addiction Treatment

Medication-Assisted Addiction Treatment Medication-Assisted Addiction Treatment Molly Carney, Ph.D., M.B.A. Executive Director Evergreen Treatment Services Seattle, WA What is MAT? MAT is the use of medications, in combination with counseling

More information

PERSPECTIVES. Opiate versus psychostimulant addiction: the differences do matter FOCUS ON ADDICTION

PERSPECTIVES. Opiate versus psychostimulant addiction: the differences do matter FOCUS ON ADDICTION FOCUS ON ADDICTION PERSPECTIVES OPINION Opiate versus psychostimulant addiction: the differences do matter Aldo Badiani, David Belin, David Epstein, Donna Calu and Yavin Shaham Abstract The publication

More information

Advanced Treatment for Opioid & Alcohol Dependence. John Larson, M.D. Corporate Medical Director Gateway Foundation

Advanced Treatment for Opioid & Alcohol Dependence. John Larson, M.D. Corporate Medical Director Gateway Foundation Advanced Treatment for Opioid & Alcohol Dependence John Larson, M.D. Corporate Medical Director Gateway Foundation Background 41 years practicing psychiatry Last 15 in addiction medicine I ve watched a

More information

TENNESSEE BOARD OF MEDICAL EXAMINERS POLICY STATEMENT OFFICE-BASED TREATMENT OF OPIOID ADDICTION

TENNESSEE BOARD OF MEDICAL EXAMINERS POLICY STATEMENT OFFICE-BASED TREATMENT OF OPIOID ADDICTION TENNESSEE BOARD OF MEDICAL EXAMINERS POLICY STATEMENT OFFICE-BASED TREATMENT OF OPIOID ADDICTION The Tennessee Board of Medical Examiners has reviewed the Model Policy Guidelines for Opioid Addiction Treatment

More information

Naltrexone and Alcoholism Treatment Test

Naltrexone and Alcoholism Treatment Test 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

More information

Chapter Fourteen. Emotion, Reward, Aggression, and Stress

Chapter Fourteen. Emotion, Reward, Aggression, and Stress 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?

More information

The Science of Addiction

The Science of Addiction Drugs, Brain and Behavior The Science of Addiction Mark Stanford, Ph.D. Santa Clara County Dept of Alcohol & Drug Services Addiction Medicine Division Association for Medical Education & Research In Substance

More information

Drugs and Teens: Current Facts and Recent Trends. Agenda. Adolescent development

Drugs and Teens: Current Facts and Recent Trends. Agenda. Adolescent development 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

More information

Neurobiology and Treatment of Alcohol Dependence. Nebraska MAT Training September 29, 2011

Neurobiology and Treatment of Alcohol Dependence. Nebraska MAT Training September 29, 2011 Neurobiology and Treatment of Alcohol Dependence Nebraska MAT Training September 29, 2011 Prior treatment episodes for persons starting treatment for alcohol dependence, 2009 Percent 50 45 40 35 30 25

More information

Co-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs

Co-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Co-Occurring Substance Use and Mental Health Disorders Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Introduction Overview of the evolving field of Co-Occurring Disorders Addiction and

More information

OTC Abuse. Dr. Eman Said Abd-Elkhalek Lecturer of Pharmacology & Toxicology Faculty of Pharmacy Mansoura University

OTC Abuse. Dr. Eman Said Abd-Elkhalek Lecturer of Pharmacology & Toxicology Faculty of Pharmacy Mansoura University OTC Abuse Dr. Eman Said Abd-Elkhalek Lecturer of Pharmacology & Toxicology Faculty of Pharmacy Mansoura University Opiates Abuse Opioids are a group of natural, partially synthetic, or synthetic drugs

More information

Involvement of the endocannabinoid system in drug addiction

Involvement of the endocannabinoid system in drug addiction ARTICLE IN PRESS Involvement of the endocannabinoid system in drug addiction Rafael Maldonado, Olga Valverde and Fernando Berrendero Laboratori de Neurofarmacologia, Facultat de Ciències de la Salut i

More information

Heroin s descent Stages of losing control, on the street and in the body

Heroin s descent Stages of losing control, on the street and in the body Heroin s descent Stages of losing control, on the street and in the body Rose Lincoln/Harvard Staff Photographer The Medical School's Bertha Madras is among the dozens of Harvard-affiliated researchers

More information

Learning Objectives Drugs disrupt the natural action of neurotransmitters at the synapse. Logistics

Learning Objectives Drugs disrupt the natural action of neurotransmitters at the synapse. Logistics Module Abstract An optional worksheet to use in conjunction with the interactive online activity of the same title located in The New Science of Addiction: module on our website (url above). Students analyze

More information

Substitution Therapy for Opioid Dependence The Role of Suboxone. Mandy Manak, MD, ABAM, CCSAM Methadone 101-Hospitalist Workshop, October 3, 2015

Substitution Therapy for Opioid Dependence The Role of Suboxone. Mandy Manak, MD, ABAM, CCSAM Methadone 101-Hospitalist Workshop, October 3, 2015 Substitution Therapy for Opioid Dependence The Role of Suboxone Mandy Manak, MD, ABAM, CCSAM Methadone 101-Hospitalist Workshop, October 3, 2015 Objectives Recognize the options available in treating opioid

More information

Decision-making is a key activity of everyday life. Consequently,

Decision-making is a key activity of everyday life. Consequently, Insular neural system controls decision-making in healthy and methamphetamine-treated rats Hiroyuki Mizoguchi a,1, Kentaro Katahira b,1, Ayumu Inutsuka c,1, Kazuya Fukumoto a,b, Akihiro Nakamura a, Tian

More information

We re glad you are here! Agenda for the Day Breaks Lunch Q&A and note cards Phones

We re glad you are here! Agenda for the Day Breaks Lunch Q&A and note cards Phones We re glad you are here! Agenda for the Day Breaks Lunch Q&A and note cards Phones Learn about the history of opioid addiction and discuss what is happening today in Kentucky Learn about the disease of

More information

Drug Addiction: From Mice to Men and Back

Drug Addiction: From Mice to Men and Back Drug Addiction: From Mice to Men and Back Clinical Neurosciences Training Program Mariella De Biasi, Ph.D. Department of Psychiatry Perelman School of Medicine Philadelphia, PA, USA Understanding behavior

More information

Opioid Dependence: A Chronic, Relapsing Brain Disease

Opioid Dependence: A Chronic, Relapsing Brain Disease Opioid Dependence: A Chronic, Relapsing Brain Disease Presentation Objectives Review the evidence that opioid dependence is a chronic, relapsing disease Demonstrate similarities of opioid dependence to

More information

Benzodiazepine Overdose and Withdrawal Are Essentially Never Fatal 2014-11-10 by Zak Fallows CC-BY license, please reuse

Benzodiazepine Overdose and Withdrawal Are Essentially Never Fatal 2014-11-10 by Zak Fallows CC-BY license, please reuse Benzodiazepine Overdose and Withdrawal Are Essentially Never Fatal 2014-11-10 by Zak Fallows CC-BY license, please reuse Caveat: Benzodiazepines are very dangerous when mixed with other sedating drugs

More information

OPIOIDS: D E P E N D E N C E & D E T O X I F I C A T I O N

OPIOIDS: D E P E N D E N C E & D E T O X I F I C A T I O N OPIOIDS: D E P E N D E N C E & D E T O X I F I C A T I O N DEPENDENCE The term dependence is used to describe two separate phenomena: Pharmacologically, drug dependence is characterized by the presence

More information

Medications Used in the Treatment of Addiction Developed by Randall Webber, MPH. Alcohol Withdrawal

Medications Used in the Treatment of Addiction Developed by Randall Webber, MPH. Alcohol Withdrawal Medications Used in the Treatment of Addiction Developed by Randall Webber, MPH Alcohol Withdrawal MEDICATION Long/intermediateacting benzodiazepines (e.g., chlordiazepoxide/ Librium, diazepam/valium)

More information

Scientific Facts on. Psychoactive Drugs. Tobacco, Alcohol, and Illicit Substances

Scientific Facts on. Psychoactive Drugs. Tobacco, Alcohol, and Illicit Substances page 1/16 Scientific Facts on Psychoactive Drugs Tobacco, Alcohol, and Illicit Substances Source document: WHO (2004) Summary & Details: GreenFacts Level 2 - Details on Psychoactive Drugs 1. What are psychoactive

More information