Neurobiology:
Dopamine, GABA,
Serotonin, Acetylcholine
Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC
Executive Director, AllCEUs.com
Objectives
 Define Neurobiology
 For the following neurotransmitters, Dopamine,
GABA, Serotonin, Acetylcholine, identify
 Their mechanism of action/purpose
 Where they are found
 Symptoms of excess & insufficiency
 Nutritional building blocks
 Medications
 Neurological changes over the lifespan
What is Neurobiology
 Neurobiology is the study of the brain and
nervous system which generate sensation,
perception, movement, learning, emotion,
and many of the functions that make us
human
Dopamine
 Mechanism of action/purpose
 Movement
 Memory
 Pleasurable reward
 Behavior and cognition
 Attention
 Sleep
 Mood
 Learning
Dopamine
 Mechanisms of Action
 Precursor, L-DOPA is synthesized in brain and
kidneys
 Dopamine functions in several parts of the
peripheral nervous system
In blood vessels, it inhibits norepinephrine release
and acts as a vasodilator (relaxation)
In the pancreas, it reduces insulin production
In the digestive system, it reduces gastrointestinal
motility and protects intestinal mucosa
In the immune system, it reduces lymphocyte
activity.
Dopamine
 Symptoms of excess
Unnecessary movements, repetitive tics
Psychosis
Hypersexuality
Nausea
Most antipsychotic drugs are dopamine antagonists
Dopamine antagonist drugs are also some of the
most effective anti-nausea agents
Dopamine
 Symptoms of insufficiency
 Insufficient dopamine
Negative symptoms of schizophrenia
Pain
Parkinson’s Disease
Restless legs syndrome
Attention deficit hyperactivity disorder (ADHD)
Neurological symptoms that increase in frequency with
age, such as decreased arm swing and increased
rigidity.
Changes in dopamine levels may also cause age-related
changes in cognitive flexibility.
Dopamine
 Symptoms of excess & insufficiency
 Insufficient dopamine
Lack of motivation
Fatigue
Apathy, Inability to feel pleasure
Procrastination
Low libido
Sleep problems
Mood swings
Hopelessness
Memory loss
Inability to concentrate
Dopamine: Age Related Changes
 Dopamine levels decline by around 10% per
decade from early adulthood and have been
associated with declines in cognitive and motor
performance
 Dopamine levels are also impacted by
availability of estrogen
https://www.ncbi
.nlm.nih.gov/pmc
/articles/PMC259
6698/
Dopamine
 Nutritional building blocks
 Eating a diet high in magnesium and tyrosine rich
foods will ensure you’ve got the basic building blocks
needed for dopamine production.
 Here’s a list of foods known to increase dopamine:
Chicken
Almonds
Apples
Avocado
Bananas
Beets
Chocolate
Green leafy
vegetables
Green tea
Lima beans
Oatmeal
Sesame &
pumpkin seeds
Turmeric
Watermelon
Wheat germ
Dopamine
 Medications
 Most common dopamine antagonists (positive
symptoms)
Risperdone, Haldol, Zyprexa
Metoclopramide (Reglan) is an antiemetic and
antipsychotic
 Most common dopamine AGONISTs (Parkinson’s,
Restless Legs) (negative symptoms)
Mirapex & Requip Excess: Unnecessary
movements, repetitive
tics, Psychosis,
Hypersexuality
Nausea
Insufficiency:
Depression
Glutamate
 Is an amino acid (present in most high protein
foods)
 Most prevalent excitatory neurotransmitter
 Used to make GABA (teeter-totter)
 Facilitates learning and memory
 Excess glutamate is associated with
 Panic attacks / anxiety
 Impulsivity
 OCD
 Depression
Chang L, Jiang CS,
Ernst T (January
2009). "Effects of age
and sex on brain
glutamate and other
metabolites". Magn
Reson Imaging. 27
(1): 142–5.
Glutamate
 Availability declines with age
 Affected by serotonin availability
 Insufficient
 Agitation
 Memory loss
 Sleeplessness
 Low energy level
 Depression
GABA
 Mechanism of action/purpose
 Anti-anxiety, Anti-convulsant
 GABA is made from glutamate
 GABA functions as an inhibitory neurotransmitter
 GABA does the opposite and tells the adjoining cells
not to “fire”
 Where is it found
 Close to 40% of the synapses in the human brain
work with GABA and therefore have GABA receptors.
GABA
 Symptoms of excess
 Excess sleepiness
 Shallow breathing
 *Increased blood pressure
 Symptoms of insufficiency
 Anxiety
 Depression
 Difficulty concentrating
 Insomnia
 Seizure disorders
GABA
 Nutritional building blocks
 Fermented foods sauerkraut, yogurt, kefir
 Almonds & walnuts
 Cherry tomatoes
 Bananas
 Brown rice
 Potatoes
 Oats
 Lentils, navy & lima beans
 Vitamin B6, if deficient, may impair the production
of GABA as it is a cofactor nutrient.
GABA
 Medications
 Drugs that increase the available amount of GABA
typically have relaxing, anti-anxiety, and anti-
convulsive effect
 Gabapentin (neurontin) is a GABA analogue used
to treat epilepsy and neurologic pain.
 Benzodiazepines and Barbiturates including GHB,
Valium, Xanax
Serotonin
 Mechanism of action/purpose
 Helps regulate
Mood
Cardiovascular functioning
Memory
Intestinal motility
Sleep patterns
Appetite
Pain
Serotonin
 Where is it found
 Brain
 Gut/Intestines
 Symptoms of excess (Serotonin Syndrome)
 Shivering
 Diarrhea
 Muscle rigity
 Fever
 Seizures
 Irregular heartbeat
Serotonin
 Symptoms of excess
 Depression
 Apathy, Emotional flatness or dullness
 Passivity
 Insomnia and other sleep problems
 Difficulty concentrating and learning
 Poor memory; amnesia
 Difficulty making decisions and acting on them
 Sexual dysfunction
Serotonin
 Insufficiency
 Depression
 Anxiety
 Pain sensitivity
 Appetite disturbance
 Sleep disturbances
Serotonin
 Nutritional building blocks
 Foods rich in tryptophan, an amino acid that
converts to serotonin in the brain.
Whole-wheat
Potatoes
Brown rice
Lentils
Oats
Beans
Serotonin
 Medications
 SSRIs
 SNRIs
 5-HTP
 SAM-e
Serotonin Age Related Changes
 Serotonin goes down when estrogen or
testosterone go down (Dr. Jacques Lorrain.
(1994) Comprehensive Management of
Menopause)
 Melatonin doesn’t decline as we age,
unless serotonin declines significantly
https://www.web
md.com/healthy-
aging/news/19991
105/melatonin-
levels-dont-
decline-with-
age#1
Acetylcholine
 Mechanism of action/purpose
 In lower amounts, ACh can act like a stimulant by
releasing norepinephrine (NE) and dopamine (DA)
 Memory
 Motivation
 Higher-order thought processes
 Sexual desire and activity
 Sleep
Acetylcholine
 Symptoms of excess
Depression (all symptoms)
Nightmares
Mental Fatigue
Anxiety
 Inverse relationship between serotonin and
acetylcholine
Acetylcholine
 Insufficiency
 Alzheimer’s/dementia
 Parkinson’s
 Impaired cognition, attention, and arousal
Acetylcholine
 Nutritional building blocks
 Foods high in choline
Meats
Dairy
Poultry
Chocolate
Peanut butter
Wheat germ
Brussels sprouts and broccoli
Acetylcholine
 Anticholinergic drugs are used to treat a
variety of conditions:
 Gastrointestinal disorders (e.g., gastritis, diarrhea,
diverticulitis, ulcerative colitis, nausea, and
vomiting)
 Genitourinary disorders (e.g., cystitis, urethritis,
prostatitis)
 Respiratory disorders (e.g., asthma, chronic
bronchitis, and chronic obstructive pulmonary
disease [COPD])
 Insomnia, although usually only on a short-term
basis.
Acetylcholine
 Medications
 Anticholinergics
Atropine
Benzatropine (Cogentin)
Chlorpheniramine (Chlor-Trimeton)
Dimenhydrinate (Dramamine)
Diphenhydramine (Benadryl, Sominex, Advil PM,
Unisom)
Hydroxyzine (Atarax, Vistaril)
Bupropion (Zyban, Wellbutrin)
Dextromethorphan - Cough suppressant
Alzheimer’s/dementia
Parkinson’s
Impaired cognition,
attention, and
arousal
Summary
 There are a variety of different
neurotransmitters involved in addiction and
mental health disorders
 It is not always about increasing a
neurotransmitter. Sometimes you need to
decrease it or increase another
neurotransmitter to facilitate it.
 Human brains try to maintain homeostasis and
too much or too little can be bad
 A balanced diet will provide the brain the
necessary nutrients in synergystic combinations
References
 Res Nurs Health. 2014 Jun;37(3):185-93. doi:
10.1002/nur.21595. Epub 2014 Apr 3. Neurobehavioral
effects of aspartame consumption.Lindseth GN1, Coolahan
SE, Petros TV, Lindseth PD.
 http://www.smithsonianmag.com/science-nature/could-diet-
soda-cause-clinical-depression-586801/?no-ist
 Understanding our Bodies: Dopamine and Its Rewards
http://nutritionwonderland.com/2009/07/understanding-
our-bodies-dopamine-rewards/
 http://nutritionwonderland.com/2009/06/understanding-
bodies-serotonin-connection-between-food-and-mood/
References
 Myo-inositol content of common foods:
development of a high-myo-inositol diet.
http://ajcn.nutrition.org/content/33/9/1954.
abstract
 Neuroscience. 2002;111(2):231-9. GABA
mechanisms and sleep. Gottesmann C.
 Biofactors. 2006;26(3):201-8. Relaxation and
immunity enhancement effects of gamma-
aminobutyric acid (GABA) administration in
humans. Abdou AM1, Higashiguchi S, Horie K,
Kim M, Hatta H, Yokogoshi H.
References
 Neuropsychopharmacology: The Fifth
Generation of Progress Editors: Kenneth
L. Davis et. Al. Publisher Lippincott,
Williams, & Wilkins, Philadelphia,
Pennsylvania, 2002
http://www.acnp.org/publications/neuro5
thgeneration.aspx

Neuropsychobiology: Understanding the Chemicals that Cause Moods

  • 1.
    Neurobiology: Dopamine, GABA, Serotonin, Acetylcholine Dr.Dawn-Elise Snipes PhD, LPC-MHSP, LMHC Executive Director, AllCEUs.com
  • 2.
    Objectives  Define Neurobiology For the following neurotransmitters, Dopamine, GABA, Serotonin, Acetylcholine, identify  Their mechanism of action/purpose  Where they are found  Symptoms of excess & insufficiency  Nutritional building blocks  Medications  Neurological changes over the lifespan
  • 3.
    What is Neurobiology Neurobiology is the study of the brain and nervous system which generate sensation, perception, movement, learning, emotion, and many of the functions that make us human
  • 4.
    Dopamine  Mechanism ofaction/purpose  Movement  Memory  Pleasurable reward  Behavior and cognition  Attention  Sleep  Mood  Learning
  • 5.
    Dopamine  Mechanisms ofAction  Precursor, L-DOPA is synthesized in brain and kidneys  Dopamine functions in several parts of the peripheral nervous system In blood vessels, it inhibits norepinephrine release and acts as a vasodilator (relaxation) In the pancreas, it reduces insulin production In the digestive system, it reduces gastrointestinal motility and protects intestinal mucosa In the immune system, it reduces lymphocyte activity.
  • 6.
    Dopamine  Symptoms ofexcess Unnecessary movements, repetitive tics Psychosis Hypersexuality Nausea Most antipsychotic drugs are dopamine antagonists Dopamine antagonist drugs are also some of the most effective anti-nausea agents
  • 7.
    Dopamine  Symptoms ofinsufficiency  Insufficient dopamine Negative symptoms of schizophrenia Pain Parkinson’s Disease Restless legs syndrome Attention deficit hyperactivity disorder (ADHD) Neurological symptoms that increase in frequency with age, such as decreased arm swing and increased rigidity. Changes in dopamine levels may also cause age-related changes in cognitive flexibility.
  • 8.
    Dopamine  Symptoms ofexcess & insufficiency  Insufficient dopamine Lack of motivation Fatigue Apathy, Inability to feel pleasure Procrastination Low libido Sleep problems Mood swings Hopelessness Memory loss Inability to concentrate
  • 9.
    Dopamine: Age RelatedChanges  Dopamine levels decline by around 10% per decade from early adulthood and have been associated with declines in cognitive and motor performance  Dopamine levels are also impacted by availability of estrogen https://www.ncbi .nlm.nih.gov/pmc /articles/PMC259 6698/
  • 10.
    Dopamine  Nutritional buildingblocks  Eating a diet high in magnesium and tyrosine rich foods will ensure you’ve got the basic building blocks needed for dopamine production.  Here’s a list of foods known to increase dopamine: Chicken Almonds Apples Avocado Bananas Beets Chocolate Green leafy vegetables Green tea Lima beans Oatmeal Sesame & pumpkin seeds Turmeric Watermelon Wheat germ
  • 11.
    Dopamine  Medications  Mostcommon dopamine antagonists (positive symptoms) Risperdone, Haldol, Zyprexa Metoclopramide (Reglan) is an antiemetic and antipsychotic  Most common dopamine AGONISTs (Parkinson’s, Restless Legs) (negative symptoms) Mirapex & Requip Excess: Unnecessary movements, repetitive tics, Psychosis, Hypersexuality Nausea Insufficiency: Depression
  • 12.
    Glutamate  Is anamino acid (present in most high protein foods)  Most prevalent excitatory neurotransmitter  Used to make GABA (teeter-totter)  Facilitates learning and memory  Excess glutamate is associated with  Panic attacks / anxiety  Impulsivity  OCD  Depression Chang L, Jiang CS, Ernst T (January 2009). "Effects of age and sex on brain glutamate and other metabolites". Magn Reson Imaging. 27 (1): 142–5.
  • 13.
    Glutamate  Availability declineswith age  Affected by serotonin availability  Insufficient  Agitation  Memory loss  Sleeplessness  Low energy level  Depression
  • 14.
    GABA  Mechanism ofaction/purpose  Anti-anxiety, Anti-convulsant  GABA is made from glutamate  GABA functions as an inhibitory neurotransmitter  GABA does the opposite and tells the adjoining cells not to “fire”  Where is it found  Close to 40% of the synapses in the human brain work with GABA and therefore have GABA receptors.
  • 15.
    GABA  Symptoms ofexcess  Excess sleepiness  Shallow breathing  *Increased blood pressure  Symptoms of insufficiency  Anxiety  Depression  Difficulty concentrating  Insomnia  Seizure disorders
  • 16.
    GABA  Nutritional buildingblocks  Fermented foods sauerkraut, yogurt, kefir  Almonds & walnuts  Cherry tomatoes  Bananas  Brown rice  Potatoes  Oats  Lentils, navy & lima beans  Vitamin B6, if deficient, may impair the production of GABA as it is a cofactor nutrient.
  • 17.
    GABA  Medications  Drugsthat increase the available amount of GABA typically have relaxing, anti-anxiety, and anti- convulsive effect  Gabapentin (neurontin) is a GABA analogue used to treat epilepsy and neurologic pain.  Benzodiazepines and Barbiturates including GHB, Valium, Xanax
  • 18.
    Serotonin  Mechanism ofaction/purpose  Helps regulate Mood Cardiovascular functioning Memory Intestinal motility Sleep patterns Appetite Pain
  • 19.
    Serotonin  Where isit found  Brain  Gut/Intestines  Symptoms of excess (Serotonin Syndrome)  Shivering  Diarrhea  Muscle rigity  Fever  Seizures  Irregular heartbeat
  • 20.
    Serotonin  Symptoms ofexcess  Depression  Apathy, Emotional flatness or dullness  Passivity  Insomnia and other sleep problems  Difficulty concentrating and learning  Poor memory; amnesia  Difficulty making decisions and acting on them  Sexual dysfunction
  • 21.
    Serotonin  Insufficiency  Depression Anxiety  Pain sensitivity  Appetite disturbance  Sleep disturbances
  • 22.
    Serotonin  Nutritional buildingblocks  Foods rich in tryptophan, an amino acid that converts to serotonin in the brain. Whole-wheat Potatoes Brown rice Lentils Oats Beans
  • 23.
    Serotonin  Medications  SSRIs SNRIs  5-HTP  SAM-e
  • 24.
    Serotonin Age RelatedChanges  Serotonin goes down when estrogen or testosterone go down (Dr. Jacques Lorrain. (1994) Comprehensive Management of Menopause)  Melatonin doesn’t decline as we age, unless serotonin declines significantly https://www.web md.com/healthy- aging/news/19991 105/melatonin- levels-dont- decline-with- age#1
  • 25.
    Acetylcholine  Mechanism ofaction/purpose  In lower amounts, ACh can act like a stimulant by releasing norepinephrine (NE) and dopamine (DA)  Memory  Motivation  Higher-order thought processes  Sexual desire and activity  Sleep
  • 26.
    Acetylcholine  Symptoms ofexcess Depression (all symptoms) Nightmares Mental Fatigue Anxiety  Inverse relationship between serotonin and acetylcholine
  • 27.
    Acetylcholine  Insufficiency  Alzheimer’s/dementia Parkinson’s  Impaired cognition, attention, and arousal
  • 28.
    Acetylcholine  Nutritional buildingblocks  Foods high in choline Meats Dairy Poultry Chocolate Peanut butter Wheat germ Brussels sprouts and broccoli
  • 29.
    Acetylcholine  Anticholinergic drugsare used to treat a variety of conditions:  Gastrointestinal disorders (e.g., gastritis, diarrhea, diverticulitis, ulcerative colitis, nausea, and vomiting)  Genitourinary disorders (e.g., cystitis, urethritis, prostatitis)  Respiratory disorders (e.g., asthma, chronic bronchitis, and chronic obstructive pulmonary disease [COPD])  Insomnia, although usually only on a short-term basis.
  • 30.
    Acetylcholine  Medications  Anticholinergics Atropine Benzatropine(Cogentin) Chlorpheniramine (Chlor-Trimeton) Dimenhydrinate (Dramamine) Diphenhydramine (Benadryl, Sominex, Advil PM, Unisom) Hydroxyzine (Atarax, Vistaril) Bupropion (Zyban, Wellbutrin) Dextromethorphan - Cough suppressant Alzheimer’s/dementia Parkinson’s Impaired cognition, attention, and arousal
  • 31.
    Summary  There area variety of different neurotransmitters involved in addiction and mental health disorders  It is not always about increasing a neurotransmitter. Sometimes you need to decrease it or increase another neurotransmitter to facilitate it.  Human brains try to maintain homeostasis and too much or too little can be bad  A balanced diet will provide the brain the necessary nutrients in synergystic combinations
  • 32.
    References  Res NursHealth. 2014 Jun;37(3):185-93. doi: 10.1002/nur.21595. Epub 2014 Apr 3. Neurobehavioral effects of aspartame consumption.Lindseth GN1, Coolahan SE, Petros TV, Lindseth PD.  http://www.smithsonianmag.com/science-nature/could-diet- soda-cause-clinical-depression-586801/?no-ist  Understanding our Bodies: Dopamine and Its Rewards http://nutritionwonderland.com/2009/07/understanding- our-bodies-dopamine-rewards/  http://nutritionwonderland.com/2009/06/understanding- bodies-serotonin-connection-between-food-and-mood/
  • 33.
    References  Myo-inositol contentof common foods: development of a high-myo-inositol diet. http://ajcn.nutrition.org/content/33/9/1954. abstract  Neuroscience. 2002;111(2):231-9. GABA mechanisms and sleep. Gottesmann C.  Biofactors. 2006;26(3):201-8. Relaxation and immunity enhancement effects of gamma- aminobutyric acid (GABA) administration in humans. Abdou AM1, Higashiguchi S, Horie K, Kim M, Hatta H, Yokogoshi H.
  • 34.
    References  Neuropsychopharmacology: TheFifth Generation of Progress Editors: Kenneth L. Davis et. Al. Publisher Lippincott, Williams, & Wilkins, Philadelphia, Pennsylvania, 2002 http://www.acnp.org/publications/neuro5 thgeneration.aspx