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Addiction Is A Brain Disease

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Addiction Is A Brain Disease

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Addiction Is A Brain Disease

  1. 1. ADDICTION IS A BRAIN DISEASE
  2. 2. DEFINITION Per American Society of Addiction Medicine • A primary, chronic disease of brain reward, motivation , memory and related circuitry. • This leads to biological, psychological, social, and spiritual manifestations.
  3. 3. Definition • This is reflected in an individual pathologically pursuing reward and/or relief by use of substances and/or other behaviors. • Continued use will cause negative consequences, yet is continued at all cost • Becomes a primary or only mechanism for perceived pleasure.
  4. 4. The Brain Reward Center
  5. 5. Reward Center • Exists for our survival • Activates strongly for food and sex • Activates any time “well being’ is felt • THIS IS THE BRAIN SAYING----”This activity is good and enjoyable. Recommend repeating as soon as possible.”
  6. 6. Dysfunction in this brain mechanism • Driving behaviors found to stimulate the pleasure center despite negative consequences. • Genetic to some extent • Social and past experiences to a large extent
  7. 7. The Key Is This • Addicted folks are not getting stimulation of the pleasure center normally in their lives. • We must therefore find something else to trigger this pleasure center response. We must! • When something is tried or taken and euphoria follows, this sets the trap.
  8. 8. PET Scan in Addiction
  9. 9. PET Scans show effect of various substances and behaviors
  10. 10. Sick but True
  11. 11. Porn, Vanity, Sex addictions
  12. 12. Back to definition • Dysfunction in pleasure center circuitry causes problems: – Biologically – Behavior (psychologically) – Socially – Spiritually
  13. 13. Biological Manifestations • How quickly can someone become addicted? • ANSWER: Very QUICKLY • You can see it in the practice of Emergency Medicine with Opioids- – 10 kidney stone patients
  14. 14. CRAVINGS • Find what pleases. It is the first priority. • We need it now. • Nothing will deter us as our survival depends on it. THIS IS WHY YOU CAN NOT LEGISLATE ADDICTIVE BEHAVIOR.
  15. 15. Continued behavior despite negative consequences • Drug use—overdoses and repeated law enforcement interactions • Food- early type 1 and 2 diabetes. Childhood diabetes highest rate ever and climbing. Early death coming for 70 million people • Nicotine- cancer, heart disease, stroke, COPD
  16. 16. So now what does the addict do? • Continues behaving the same or using • Isolates, lies. Uses more or intensifies behaviors due to tolerance • Breaks the law if needed to fulfill the reward center. Gains 10 more pounds, gambles away last of paycheck.
  17. 17. Prevention • Close family and friends • Stop unhealthy behaviors quickly • Open communication with loved ones • Encourage healthy activities with family, friends • Do not take narcotic pain meds • Limit social media • Dispose of all unused medications promptly
  18. 18. Prevention • Decide today how you and your children will cope with hardship that is sure to come. • Avoid risky behaviors- – Teen drinking – Marijuana use – Unsupervised social media – Lax rules, curfew, etc. – Promote spirituality of your choice in the home
  19. 19. TREATMENT • Addiction requires treatment like any chronic disease • Confront, offering help but not being co- dependent (Hard Love) • IOP, In-patient treatment, meetings, sponsor • Use law enforcement as last resort • Sometimes legal enforcement is life-saving

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